• Aortic stenosis
    • Thickened dysplastic appearing aortic valve
    • Limited leaflet excursion
    • Dysplastic mitral valve with shortened chordae
    • Dilated left atrium
  • Aortic stenosis
    • Turbulent flow which begins at the aortic valve 
    • Trivial aortic regurgitation
  • Aortic stenosis
    • Hypoplastic dysplastic aortic valve with restricted leaflet excursion
    • Turbulent color Doppler flow which begins at the aortic valve and extends into the proximal aorta
    • No aortic regurgitation 
  • Critical Aortic Stenosis
    • Dysplastic thickened aortic valve with restricted excursion
    • Thickened mitral valve leaflets with limited excursion with shortened chordae
    • Endocardial fibroelastosis 
    • Severely depressed left ventricular systolic function
  • Critical Aortic Stenosis
    • Dysplastic thickened aortic valve with restricted excursion
    • Thickened mitral valve leaflets with limited excursion with shortened chordae
    • Endocardial fibroelastosis with echobright endocardium
    • Severely depressed left ventricular systolic function
  • Critical Aortic Stenosis
    • Dysplastic thickened aortic valve with restricted excursion with severe stenosis with flow turbulence across the aortic valve
    • Thickened mitral valve leaflets with limited excursion with shortened chordae
    • Endocardial fibroelastosis with echobright endocardium
    • Severely depressed left ventricular systolic function

From the parasternal long axis view, a thickening of the aortic valve leaflets can be appreciated, along with reduced excursion of the aortic valve leaflets (right and non coronary cusps can been seen from this view).  Color Doppler typically reveals aliasing that begins at the level of the aortic valve. This is also a good view to assess for aortic regurgitation. This is the view from which the diameter of the aortic valve annulus should be measured at end systole.

  • Transducer placed on the left sternal border
  • 3rd or 4th intercostal space
  • Notch pointed towards the patient's right shoulder (11 o'clock)
  • Thickened aortic valve leaflets
  • Limited mobility of the aortic valve leaflets
  • Aortic stenosis
  • Aortic regurgitation