Echo “Bright” Spot in the Heart
Key Echocardiographic Features • Locate the position of the “echo bright spot” as being solely on the tips of the papillary muscles within the heart. • Search for any additional…
Key Echocardiographic Features • Locate the position of the “echo bright spot” as being solely on the tips of the papillary muscles within the heart. • Search for any additional…
Key Echocardiographic Features • Size and function of the right ventricle in comparison with the left ventricle. • Morphology of the right ventricle (i.e., tripartite?). • Morphology of the pulmonary…
Key Echocardiographic Features • Origin of the great vessels from the right ventricle. • Relationship of the great vessels to each other (aorta is typically to the right of the…
Key Echocardiographic Features • Left ventricle dilation with poor contractility. • Aortic annular hypoplasia, with aortic stenosis or atresia. • Abnormal mitral valve with small annulus, thickened leaflets, stenosis, and…
Key Echocardiographic Features • Size of the pulmonary annulus in comparison with the aortic annulus. • Laminar or turbulent flow across pulmonic valve? • Peak systolic velocity across the pulmonic…
Key Echocardiographic Features • Connection between the pulmonary artery and the aorta above the level of the two semilunar valves. • The window is typically large. • Commonly seen in…
Key Echocardiographic Features • Thickened, doming aortic valve. • Ascending aorta may be dilated in isolated aortic stenosis; however, aortic hypoplasia is common when aortic stenosis is seen in the…
Key Echocardiographic Features • Absence of competent aortic valve tissue at the site of the aortic annulus. • Abnormally prominent pulsation of the ascending aorta. • Abnormal dilation of the…
Key Echocardiographic Features • Site of narrowing of the arch • Associated anomalies such as aortic stenosis, subaortic narrowing, left ventricular hypoplasia, or ventricular septal defect • Mitral valve size…
Ultrasound assessment of the fetal cardiovascular system is a challenging but very rewarding process. Although the term fetal echocardiography may imply assessment of the fetal heart alone, much information is…