{"id":695,"date":"2008-11-29T16:26:34","date_gmt":"2008-11-29T16:26:34","guid":{"rendered":"http:\/\/cardiophile.org\/?p=695"},"modified":"2022-01-05T23:37:57","modified_gmt":"2022-01-05T18:07:57","slug":"supra-sternal-view-in-echocardiography","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/supra-sternal-view-in-echocardiography\/","title":{"rendered":"Suprasternal view in echocardiography"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/A01kDRwDuZw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3><span style=\"color: #008000;\">Suprasternal view in echocardiography<\/span><\/h3>\n<figure style=\"width: 700px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/supra-sternal-view1.jpg\" alt=\"Supra sternal view in echocardiography\" width=\"700\" height=\"465\" \/><figcaption class=\"wp-caption-text\">Suprasternal view in echocardiography<\/figcaption><\/figure>\n<p>The suprasternal view in echocardiography is obtained by placing the transducer in the suprasternal notch and directing the echo beam downwards towards the heart.<\/p>\n<figure id=\"attachment_52861\" aria-describedby=\"caption-attachment-52861\" style=\"width: 437px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-52861\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Suprasternal-view.png\" alt=\"Suprasternal view\" width=\"437\" height=\"480\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Suprasternal-view.png 437w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Suprasternal-view-273x300.png 273w\" sizes=\"auto, (max-width: 437px) 100vw, 437px\" \/><figcaption id=\"caption-attachment-52861\" class=\"wp-caption-text\">Suprasternal view<\/figcaption><\/figure>\n<p>In the adult it can image the arch and portions of the ascending and descending aorta. It can also image the pulmonary artery and the patent ductus arteriosus. In infants, cardiac structures will also be visible in this view. Aorta is always superior in this view and this fact is useful in identifying the relation of the aorta to the pulmonary artery in complex congenital heart disease. The origins of the major arch vessels are also visible in this view. Most often this view is used in congenital heart disease to look for coarctation of aorta. Descending aortic narrowing (usually with a shelf like structure extending from the lateral wall towards the region of the ductus arteriosus) and Doppler gradient are visualized in coarctation of aorta in this view. The ascending aorta can also be imaged by tilting the transducer towards the right. Measurement of aortic gradient in aortic stenosis can be achieved in this view while imaging the ascending aorta, especially with continuous wave (CW) Doppler. Sometimes a pencil probe with CW only imaging helps to pick the gradient of aortic stenosis better in this view.<\/p>\n<figure id=\"attachment_52860\" aria-describedby=\"caption-attachment-52860\" style=\"width: 850px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-52860\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Continuous-wave-Doppler-pencil-probe.png\" alt=\"Continuous wave Doppler pencil probe\" width=\"850\" height=\"486\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Continuous-wave-Doppler-pencil-probe.png 850w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Continuous-wave-Doppler-pencil-probe-300x172.png 300w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Continuous-wave-Doppler-pencil-probe-768x439.png 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><figcaption id=\"caption-attachment-52860\" class=\"wp-caption-text\">Continuous wave Doppler pencil probe<\/figcaption><\/figure>\n<p>The right half of the image shows the color flow mapping image in the descending aorta. It shows a predominant blue color due to the flow away from the transducer in the descending aorta. Sometimes the vertical vein can be imaged beyond the descending aorta to the left\u00a0in hemi anomalous or total anomalous pulmonary venous drainage. The color flow mapping will show red colour in the vertical vein as the flow is upwards to the left brachiocephalic vein. The colour flow will be blue indicating downward flow in the same location if a left superior vena cava is present. The ascending aorta will show a red flow and the right superior vena caval flow\u00a0may be imaged, especially in children as a blue color.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Supra sternal view in echocardiography is obtained by placing the transducer in the suprasternal view and directing echo beam downwards towards the heart.<\/p>\n","protected":false},"author":1,"featured_media":17491,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[25,8],"tags":[],"class_list":["post-695","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-echocardiogram-library-echocardiogram-library","category-echocardiogram-library"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Supra sternal view in echocardiography<\/title>\n<meta name=\"description\" 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