Echocardiogram of the patient. (A) Apical four-chamber view with aorta. (B) Parasternal long axis view with the root of the aorta, left atrium and left ventricular outflow tract. Both images show moderate calcification of the aortic valve and slight calcification at the anterior leaflet of the mitral valve. (C) Apical two-chamber view with aorta. Colour flow mode indicates moderate aortic regurgitation. (D) Apical four-chamber view. Colour flow mode indicates mild mitral regurgitation.