Aortic Valve

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The normal 10, 2, 6 (on the face of a clock) insertion of the aortic leaflets is strong evidence against the presence of a bicuspid valve.

A bicuspid aortic valve shows eccentric leaflet coaptation in the parasternal long axis view. It may also appear to prolapse.
Transesophageal images of a bicuspid aortic valve from the University of Chicago.

Continuous wave Doppler flow pattern of aortic insufficiency.

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