• Shone's Complex
    • Left ventricular hypoplasia
    • Hypoplastic LVOT and aortic valve
  • Shone's Complex
    • Turbulent color Doppler flow across hypoplastic LVOT and aortic valve

The apical five chamber view is an optimal view to assess the left ventricular outflow tract/sub-aortic region for the presence of a subaortic membrane and to assess the degree of sub-aortic stenosis. 

  • Transducer at cardiac apex
  • Notch at 3-4 o'clock (slight clockwise rotation)
  • 4th or 5th intercostal space 
  • Probe tilted anteriorly (tail down)
  • Subaortic membrane
  • Hypoplastic LVOT and/or aortic valve
  • Subaortic and aortic stenosis