• Normal leaflet mobility and excursion of mitral and aortic valves
  • Normal thickness of the interventricular septum and posterior wall
  • Normal left atrial size
  • Normal right and left ventricular size and systolic function
  • Normal laminar flow across the mitral and aortic valves
  • No evidence of mitral or aortic regurgitation.

The parasternal long axis view is a good view to profile the mitral valve, left ventricle and left ventricular outflow tract as well as flow across the mitral and aortic valves.

  • Transducer placed on the left sternal border
  • 3rd or 4th intercostal space
  • Notch pointed towards the patient's right shoulder (11 o'clock)
  • Subaortic membrane
  • Mitral valve abnormalities (prolapse, dysplasia, stenosis or regurgitation, systolic anterior motion)
  • Ventricular septal defects
  • Aortic stenosis or regurgitation
  • Left ventricular hypertrophy or dilation
  • Left ventricular dysfunction
  • Aortic root and ascending aortic dilation
  • Pericardial effusion