2d Transthoracic Echocardiographic views

2D TTE Views by Sruthi Meenaxshi

1. 2D Echocardiography Views
Dr.SruthiMeenaxshiMBBS,MD,PDF

2. Tomographic View
•Each tomographic view is defined by the
transducer position
•parasternal
•apical
•subcostal
•suprasternal

3. Views
•Views obtained by manipulation of transducer
by combined angulation and rotation
•long axis
•short axis
•four-chamber
•five-chamber.

6. Parasternal long axis view
•Third or fourth left intercostal space,
immediately adjacent to the sternum

8. Right ventricular inflow and outflow-
PLAX
•Infero medial
angulation of
Parasternal long axis
view
•Visualize IVC, RA ,RV, TV

9. Parasternal short axis
•From the parasternallong axis orientation, a 70º
to 110º clockwise rotation of the transducer
•superior and inferior transducer manipulations
permits delineation of the parasternalshort axis
views
•base (aortic valve)
•basal left ventricular (mitral valve)
•mid-left ventricular (papillary muscle)
•and apical left ventricular levels

10. MERCEDES BENZ SIGN
All three leaflets of the
aortic valve may be
identified, forming a "Y"
configuration during
ventricular diastole, with
the interatrial septum
adjacent to the
noncoronary cusp.

11. PSAX MITRAL VALVE LEVEL

13. Mitral valve PSAX
FISH MOUTH APPEARANCE

14. PSAX at papillary muscle level

16. PSAX-
Apical level

17. VISUALISATION LEFT ATRIAL
APPENDAGE

18. ANALYSIS OF WALL MOTION PSAX
•Slight inferior
angulation of PSAX view
helps in assessing wall
motion abnormalities in
Myocardial infarction
patients

19. Apical 4 chamber view
•Transducer at
apex
•Visualize all 4
chambers

21. Apical five-chamber
•Anterior angulation and
slight clockwise rotation
of the transducer .
•permits imaging of the
left ventricular outflow
tract, right and left
leaflets of the aortic
valve, and proximal
ascending aorta

23. Apical two-chamber
•Counter
clockwise
direction from
apical 4
chamber view
reveals 2
chamber view

24. Apical Long Axis view
•Further
counter
clockwise
direction and
anterior
angulation

25. Subcostal view
•obtained with the patient
supine in full inspiration
to bring the heart closer
to the imaging probe and
with the knees bent to
relax the abdominal
musculature
•The transducer is
positioned immediately
below or to the right of
the xiphoidprocess.

26. Subcostal view

28. Subcostal view
•Medial
angulation
shows IVS ,
hepatic veins

29. Visualisationof aorta subcostalview
•Sliding
transducer to
left visualizes
aorta

30. Suprasternal notch view
•with the patient supine
and the neck extended,
the transducer is placed
in the suprasternal
notch to obtain an
image of the distal
ascending, transverse,
and proximal
descending aorta

31. Crab view
•This image is referred to
“crab view” because 4
pulmonary veins
resembles legs
extending from the
body of a crab

33. Pediatric Views
•Subcostalviews including long axis , short axis
and IVC/SVC view
•Long axis at all levels
•Short axis at all levels
•Upside down 4 chamber view
•Upside down 5 chamber view
•Aortic Arch view
•Pulmonary veins view

34. Subxiphoid long axis view

35. Subxiphoid short axis view

36. Parasternal long axis view

37. Pediatric parasternalshort axis view

38. Pediatric Apical 4 chamber view

39. Suprasternal view

40. Aortic Arch view

41. High right parasternalview / Pediatric
SVC/IVC view

42. Thankyou