• ALCAPA
    • Severely dilated left ventricle
    • Echobright mitral valve chordae 
    • Severely depressed left ventricular systolic function
  • ALCAPA
    • Severely dilated left ventricle
    • Echobright mitral valve chordae
    • Severely depressed left ventricular systolic function
    • Moderate mitral regurgitation
  • ALCAPA
    • Apical view tilted anteriorly towards RVOT and pulmonary valve
    • Retrograde flow noted from the left coronary artery into the pulmonary artery
    • Color Doppler flow demonstrating left coronary artery arising from the pulmonary artery

  • Transducer placed on apical PMI (4th or 5th intercostal space)
  • Midclavicular line at the apical PMI (point of maximal intensity)
  • Notch at 3 o'clock
  • ALCAPA
    • Left ventricular dilation and dysfunction
    • Echobright mitral valve papillary muscles and chordae
    • Mitral regurgitation
    • Left atrial dilation 
    • Anteriorly towards RVOT and pulmonary valve can profile anomalous left coronary artery from pulmonary artery