• Complete AV Canal
    • Elongated gooseneck deformity of LVOT in patient with a complete balanced AV canal
  • Complete AV Canal
    • Elongated LVOT (gooseneck deformity)
    • Normal laminar flow across the LVOT and aortic valve
    • Trivial aortic regurgitation

Echocardiographic Assessment: Apical 5 Chamber

  • Enlongated left ventricular outflow tract/gooseneck deformity 
  • Assess for subaortic stenosis
  • Assess for aortic stenosis
  • Assess straddling chords across the LVOT or chordal attachments to the interventricular septum

  • Transducer at cardiac apex
  • Notch at 3-4 o'clock (slight clockwise rotation)
  • 4th or 5th intercostal space 
  • Probe tilted anteriorly (tail down)