A. Long axis view of the aortic valve. Conventional 2D-echocardiography showing a large mass originating from the aortic surface of the valve. B. Short axis view of the aortic valve demonstrating in diastole a large papillary fibroelastoma of the right coronary cusp. C. Short axis view of the aortic valve demonstrating the right coronary cusp papillary fibroelastoma in systole. D. 3D-echocardiography depicting the origin of the tumour from the right coronary cusp. AO = Aorta, LA = Left atrial, RCC = Aortic right coronary cusp, NCC = Aortic non coronary cusp, LCC = Aortic left coronary cusp, AML = Anterior mitral leaflet.