In the parasternal short axis view, isolated severe mitral reguritation, or echobright left ventricular endocardium and mitral valve papillary muscles should increase your suspicion of this anomaly.  
 

- Transducer at left sternal border
 
- Notch pointed towards patient's left shoulder
 
- Probe angled inferiorly (tail up)
 
 
- ALCAPA
- Left ventricular dilation and dysfunction
 
- Echobright mitral valve papillary muscles and chordae
 
- Mitral regurgitation