Introduction: Case report of a 26 years old female patient referred for a routine cardiological examination due to a supposed electrocardiographic abnormality. Methods: The clinical examination raised the suspicion of aortic valve disease and immediate scanning with a handheld echocardiograph by a junior doctor in the emergency room. Results: The diagnosis of severe aortic regurgitation associated with ectasy of the ascending aorta was done using a handheld echocardiography (HHE) in the emergency setting prompting to immediate specifi c care without delay. Conclusions: Comparatively images from both HHE and standard high-performance echocardiography