A practical guideline for performing a comprehensive transthoracic echocardiogram in the congenital heart disease patient: consensus recommendations from the British Society of Echocardiography

Corbett, Liam; Forster, Jan; Gamlin, Wendy; Duarte, Nuno; Burgess, Owen; Harkness, Allan; Li, Wei; Simpson, John; Bedair, Radwa

doi:10.1186/s44156-022-00006-5

Table 3 Summarised guideline for performing a comprehensive sequential segmental TTE in the CHD patient

From: A practical guideline for performing a comprehensive transthoracic echocardiogram in the congenital heart disease patient: consensus recommendations from the British Society of Echocardiography

View	Modality	Anatomy/image/measurement
Subcostal	2D, CFD	Visceral/inferred atrial situs
	2D, CFD	IVC connection, size and collapsibility
	2D, CFD, PWD	Abdominal aorta
	2D	Cardiac position and apex position
	2D, CFD, PWD	Long axis & bicaval IAS assessment
	2D	AV connection, ventricular morphology
	2D, CFD	VA connection, vessel relationship
	2D, CFD, PWD/CWD	RV inflow/outflow
	2D	Pericardial effusion
Apical: A4C	2D, CFD, PWD	LA size, pulmonary vein assessment
	2D, CFD, PWD/CWD	Left atrioventricular valve appearance, and function
	2D, MM, TDI	Ventricular morphology, size, thickness, and function
Apical: A5C	2D, CFD, PWD/CWD	Outflow assessment
Apical: A2C	2D, CFD, PWD	LA size/pulmonary vein assessment
	2D, CFD, PWD/CWD	Left atrioventricular valve appearance, and function
	2D	Ventricular morphology, size, thickness, and function
Apical: A3C	2D, CFD, PWD	LA size/pulmonary vein assessment
	2D, CFD, PWD/CWD	Left atrioventricular valve appearance, and function
	2D	Ventricular morphology, size, thickness, and function
	2D, CFD, PWD/CWD	Outflow assessment
Apical
A4C, A2C, A3C	2D, GLS, 3D	Focus systemic ventricle assessment
Apical:	2D	RA size
Mod. right heart	2D, CFD, PWD/CWD	Right atrioventricular valve appearance, and function
	2D, MM, TDI	Ventricular morphology, size, thickness, and function
Parasternal	2D	AV and VA connections
Long axis	2D, CFD, PWD/CWD	Atrioventricular valves’ appearance, and function
	2D, MM	Ventricular morphology, size, thickness, and function
	2D, CFD, PWD/CWD	Outflows’ assessment
	2D, CFD, CWD	Inflows’ assessment
	2D, CFD	VSD sweep
Parasternal	2D	AV and VA connections
Short axis	2D, CFD	Aorta cusp morphology
	2D, CFD	Coronary origins (coronary specific settings)
	2D, CFD, PWD/CWD	Right atrioventricular valve appearance, and function
	2D, CFD, PWD/CWD	Left atrioventricular valve appearance, and function
	2D, CFD, PWD/CWD	RVOT, outflow & branch PA assessment (i.e. PDA)
	2D, CFD, PWD	Pulmonary vein assessment
	2D, CFD, PWD/CWD	Atrial septum assessment
	PSAX Base—2D, CFD	LV size, thickness, and function
	PSAX mid—2D, CFD	LV size, thickness, and function
	PSAX Apical—2D, CFD	LV size, thickness, and function
	2D, CFD	VSD sweep
Ductal view	2D, CFD, CWD	PDA assessment
Suprasternal	2D, CFD, PWD/CWD	Arch calibre, PDA/CoA assessment
Long axis	2D, CFD	Head and neck vessel pattern
	2D, CFD, PWD/CWD	LPA assessment
Suprasternal	2D, CFD	Arch sidedness
Short axis	2D, CFD, PWD/CWD	Branch PA assessment
	2D, CFD, PWD	“Crab view” pulmonary vein assessment
	2D, CFD	RSVC ± LSVC, innominate vein anatomy

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ISSN: 2055-0464

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