• Shone's Complex
    • Diffuse arch hypoplasia (transverse arch and aortic isthmus)
  • Shone's Complex
    • Diffuse arch hypoplasia (transverse and isthmus)
    • Flow persistence into diastole by color Doppler (consistent with hypoplastic arch with obstruction)

The suprasternal notch is an optimal view to assess the aortic arch for aortic arch hypoplasia and/or coarctation of the aorta. 

  • Probe placed in suprasternal notch
  • Notch pointed towards 1 o'clock
  • Tilt inferiorly and anteriorly
  • Aortic arch hypoplasia
  • Coarctation of the aorta