• Critical Aortic Stenosis
    • Thickened mitral valve leaflets with limited excursion with shortened chordae
    • Endocardial fibroelastosis with echobright endocardium with hyperechogenic mitral valve papillary muscles
    • Severely depressed left ventricular systolic function
  • Critical Aortic Stenosis
    • Thickened mitral valve leaflets with limited excursion with shortened chordae
    • Endocardial fibroelastosis with echobright endocardium and hyperechogenic mitral valve papillary muscles
    • Severely depressed left ventricular systolic function

This is the apical 4 chamber view is a good view to assess left ventricular systolic function, the mitral valve apparatus and left ventricular endocardium.

  • 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