• Supracardiac Total Anomalous Pulmonary Venous Return
    • Dilated right ventricle
    • Underfilled left ventricle
    • Septal flattening throughout the cardiac cycle
      • Consistent with a pressure and volume loaded right ventricle

Echocardiographic Assessment: Parasternal Short Axis

  • Assess right ventricular size and function
  • Assess left ventricular size and function
  • Assess interventricular septal configuration
    • Systolic interventricular septal flattening:  Pressure loaded right ventricle in setting pulmonary hypertension
    • Diastolic interventricular septal flattening: Volume loaded right ventricle in setting of increased right sided volume from anomalous pulmonary venous return

  • Transducer at left sternal border
  • Notch pointed towards patient's left shoulder
  • Probe angled inferiorly (tail up)