• Coarctation of the aorta
    • Dilated right ventricle
    • Moderate right and left ventricular systolic dysfunction

The apical 4 chamber view is a good view to assess for atrial and ventricular size and ventricular function in a patient with coarctation of the aorta. 

  • 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
  • Right or left atrial dilation
  • Right or left ventricular dilation
  • Right or left ventricular dysfunction
  • Mitral valve hypoplasia or dysplasia