[A woman with palpitations, dyspnoea and a heart murmur]. / Een vrouw met palpitaties, dyspneu en een hartgeruis.

A 35-year-old female came to the ER with palpations, dyspnoea and some thoracic chest pain. During physical examination we heard a diastolic murmur. Using transoesophageal echocardiography and MRI we made the diagnosis of congenital quadricuspid aortic valve (type A) with moderate aortic regurgitation.