• Patent Ductus Arteriosus
    • Modertely dilated left atrium and left ventricle in a patient with a large PDA
  • Patent Ductus Arteriosus
    • Moderately dilated left atrium and left ventricle in a patient with a large PDA 
  • Patent Ductus Arteriosus
    • Moderately dilated left atrium and mildly dilated left ventricle in a patient with a large PDA 

Echocardiographic Assessment: Apical 4 Chamber

  • Assess hemodynamic burden of a PDA (left to right shunt)
  • Assess for left atrial dilation (left atrial volume)
  • Left ventricular dilation 
  • Mitral annuluar dilation
    • mitral regurgitation

  • Transducer placed on apical PMI (4th or 5th intercostal space)
  • Midclavicular ling at the apical PMI (point of maximal intensity)
  • Notch at 3 o'clock