🦀view from SSN SAX
Indicator at 🕒
RUPV sometimes difficult to see
If unable to visualize here try the subcostal window (images in 🧵)
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To view RUPV from subcostal window
🩷obtain a bicaval view with notch between 🕔and 🕕
🩷angle posterior to the SVC
🩷may need to decrease color scale or increase color gain to define flow
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Coronary artery imaging from PSAX
✴️LMC-🔁clockwise rotation angle to pt L axilla
✴️LAD-🔁angle to pt L axilla
✴️Cx-more 🔁
✴️proximal RCA-slight 🔄angle to pt R axilla
✴️distal RCA-angle toward RV inflow to view in posterior AV groove
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Coronary arteries PLAX
🩷LCA-lower window notch @ 10 🕙
🩷LAD-lower window notch @ 10 🕙
🩷Cx-lower window notch @ 10 🕙
🩷RCA-(proximal segment only)high window to view origin of RCA
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Enrique Garcia-Sayan, MD, FACC, FASE American Society of Echocardiography CarrieAltman Neha Nadeen N. Faza, M.D. JASE Daniel Forsha, MD, MHS Wyman W. Lai RituSachdeva Leo Lopez Ritu Thamman MD 🫧Bubble study 🫧Unroofed Coronary Sinus #ASEchoJC

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Question 2 #ASEchoJC : What is this standard pediatric TTE view called and what structures are demonstrated?

American Society of Echocardiography CarrieAltman Neha @boegel_Kelly Nadeen N. Faza, M.D.

📢Question 3 #ASEchoJC : Which pulmonary vein is demonstrated on standard pediatric TTE view- subcostal sagittal (short axis)

American Society of Echocardiography CarrieAltman Neha @boegel_Kelly Nadeen N. Faza, M.D.

Important reminder #ASEchoJC

📢Question 8 #ASEchoJC : What are the clinical applications for strain imaging in pediatric TTE?

American Society of Echocardiography CarrieAltman Neha @boegel_Kelly Nadeen N. Faza, M.D.

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🙌Welcome to #ASEchoJC on the new American Society of Echocardiography pediatric TTE guideline bit.ly/3WnRHSj. Honored to be joined by authors CarrieAltman Neha & co-moderators @boegel_Kelly & Nadeen N. Faza, M.D.
👉Follow #ASEchoJC to join the conversation, use the hashtag and get your❓ answered

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Indications for initial and follow-up #Echofirst in children as per the American Society of Echocardiography guidelines!

📢Question 9 #ASEchoJC : How should the RV function be assessed by pediatric TTE?

American Society of Echocardiography CarrieAltman Neha @boegel_Kelly Nadeen N. Faza, M.D.

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Neha Enrique Garcia-Sayan, MD, FACC, FASE American Society of Echocardiography CarrieAltman Nadeen N. Faza, M.D. Leo Lopez RituSachdeva Wyman W. Lai Daniel Forsha, MD, MHS Ritu Thamman MD David H. Wiener, MD JASE #ASEchoJC

📢Question 7 #ASEchoJC : When may 3D echo be valuable in pediatric TTE?

American Society of Echocardiography CarrieAltman Neha @boegel_Kelly Nadeen N. Faza, M.D.