1/ One of my new favorite #POCUS views is the Parasternal short axis (PSAX) view at the AV level. So much can be seen in this view.
- AV valve
- PV and pulmonary artery
- TV
@Scottiedoc1 @PratsEM @NephroP @OSUultrasound @POCUS_Society @CreaghB
2/ The classic PSAX view. LV in the far field and RV in the near field. Sweeping towards the nipple, shows progression from the MV level to the papillary level of the LV. View is good for:
-Wall motion abnormalities
-Detecting effusions
-RV dilation
Clip credit @thepocusatlas
3/ To get the AV level of the PSAX, the probe should be fanned toward the right shoulder. This level demonstrates the aortic valve (AV), pulmonic valve (PV), pulmonary outflow tract (POT), RV, RA, and LA. This clip is of a patient with RV failure and chronic RV dilation.
4/ The view can be useful to see all the leaflets of the AV. All three leaflets are seen in this clip, the “Mercedes Benz” view. Poor leaflet movement or calcification can be suggestive of Aortic stenosis.
5/ And if lucky, as shown here, the pulmonary artery and its branching can be seen. Theoretically a saddle pulmonary embolus would be visualized in this view. Anyone have a clip of this?
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