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  3. Lesion: Supracardiac Total Anomalous Pulmonary Venous Return
  4. View: Parasternal long axis LVOT
  • Supracardiac total anomalous pulmonary venous return
    • Small underfilled left ventricle
    • Dilated and hypertrophied right ventricle

Echocardiographic Assessment: Parasternal Long Axis

  • Right ventricular size and function (often dilated and hypertrophied)
  • Left ventricular size and function (often underfilled/compressed in appearance)
  • Assess for pulmonary hypertension (dilated and hypertropied right ventricle, right ventricular dysfunction, pancaking of left ventricle with septal flattening)

  • Transducer placed on the left sternal border
  • 3rd or 4th intercostal space
  • Notch pointed towards the patient's right shoulder (11 o'clock)
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