Download Parasternal

Parasternal
 Long axis PLAX
(Sagittal)
 Short axis PSAX
(Transverse axis)
Subcostal
Apical
 4-Chamber view A4C
(coronal)
 5-Chamber view A5C
 2-Chamber view A2C
 3-Chamber view A3C
Suprasternal
Parasternal
PLAX
Apical
A4C
AV concordance
LA > RA
tricuspid: nearer to
apex & septophilic
RV: triangular (thinner)
+ moderator bands
PSAX
Aortic Level
A5C
Mitral Valve
Level
A4C
Papillary
muscle level
A3C
LV: bullet (thick
wall)
ventriculoarterial concordance
(upright PLAX)
Apex level
anterior &
posterior leaflet of Mitral valve
Normal MVA = 2-4 cm2
*Wilkin’s score
- determines thickness of subvalvar apparatus
- score <8 favorable morphology for MVR
Subcostal
SC
4-Chamber
View
Suprasternal
SLAX of
Aorta




interatrial septum
abdominal situs & atrial situs
liver is right of the RA
RA is right of the LA
SC SAX
posterior structures
R pulmonary artery = below the aortic arch
below pulmonary artery = LA
\
best view for aortic dissection involving the arch
venoatrial concordance