Cleft bicuspid aortic valve: the Achilles' heel of echocardiography?

In 2002, Thiene and co-workers reported the possibility that echocardiography might not be able to correctly differentiate a bicuspid valve with a median cleft (simulating a rudimentary commissure) from a true tricuspid valve. This is the only published report on this subject so far. In this brief report, we describe a similar case where transthoracic …