This apical 4 chamber view obtained tilted very anteriorly is a good view to assess the right ventricular outflow tract and pulmonary valve.
- Transducer at cardiac apex
- Notch at 3 o'clock
- Probe tilted very anteriorly (tail down)
- Sliding probe medially will optimize this view
- Pulmonary stenosis
- Subvalvar
- Valvar
- Supravalvar
- Ventricular septal defects