Summary 1. Left ventricle: Size was normal. Systolic function was normal by visual assessment. Ejection fraction was estimated in the range of 55 % to 60 %. There were no regional wall motion abnormalities. There was mild concentric hypertrophy. Left ventricular diastolic function parameters were normal. 2. Aortic valve: A bioprosthesis was present. It exhibited normal function and normal motion. The leaflets appeared normal. There was a normal-appearing sewing ring and no rocking motion of the sewing ring. There was trivial aortic regurgitation. There was no significant perivalvular aortic regurgitation. Valve peak gradient was 12 mmHg. Valve mean gradient was 7 mmHg. The aortic valve obstructive index (by VTI) was 0.68. 3. Aorta, systemic arteries: The root exhibited mild dilatation, but represents proximal aortic graft after reconstruction of the proximal ascending aorta.