• Mitral Valve Arcade
    • The mitral valve demonstrates restricted excursion with shortened thickened chordae
    • Dilated left atrium
  • Mitral Valve Arcade
    • Restricted mitral valve with shortened thickened chordae
    • Turbulent flow through chordal tissue
    • Moderate mitral regurgitation
  • Mitral Valve Arcade
    • Shortened and thickened mitral valve chordae with restricted leaflet excursion
    • Turbulent flow across mitral valve 
    • Moderate mitral regurgitation

The parasternal long axis view is a good view to profile the mitral valve apparatus. In this view, one can appreciate the thickened, shortened chordal appratus with restricted leaflet excursion and thick membranous cords. Turbulent flow across the mitral valve can be seen from this view along with mitral regurgitation.  Varying degrees of left atrial dilation can be seen secondary to mitral stenosis and/or regurgitation.

  • Transducer placed on the left sternal border
  • 3rd or 4th intercostal space
  • Notch pointed towards the patient's right shoulder (11 o'clock)
  • Mitral valve arcade
  • Mitral stenosis
  • Mitral regurgitation
  • Left atrial dilation