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Subcostal view: Difference between revisions
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|mainauthor= [[user:Vdbilt|I.A.C. van der Bilt]] | |||
|moderator= [[user:Vdbilt|I.A.C. van der Bilt]] | |||
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==How to Get a Good Subcostal View== | ==How to Get a Good Subcostal View== | ||
The subcostal views of the heart allows the assessment of both the left and right sides of the heart, which is not possible with parasternal planes. To get a good subcostal view image, the patient is placed in a supine position. The subcostal view is found by placing the transducer just below the xyphoid, under the ribcage. | The subcostal views of the heart allows the assessment of both the left and right sides of the heart, which is not possible with parasternal planes. To get a good subcostal view image, the patient is placed in a supine position. The subcostal view is found by placing the transducer just below the xyphoid, under the ribcage. | ||
To obtain the subcostal four chamber view, place the transducer over the center of the epigastrium and tilt it downward from the suprasternal notch to the left shoulder of the patient. The image produced will be similar to the apical four chamber view. The short-axis subcostal view on the other hand is similar to the parasternal view and is ideal for | To obtain the subcostal four chamber view, place the transducer over the center of the epigastrium and tilt it downward from the suprasternal notch to the left shoulder of the patient. The image produced will be similar to the apical four chamber view. The short-axis subcostal view on the other hand is similar to the parasternal view and is ideal for studying the right side of the heart. | ||
==Structures Seen in Subcostal View=== | ==Structures Seen in Subcostal View=== | ||
The four cardiac chambers, the right ventricular outflow tract, the aorta, and the vena cava can be visualized in the subcostal view. Sometimes, it is also possible to visualize a portion of the abdominal aorta. Pointing the transducer toward the right side of the patient would result in a good view of showing the liver and suprahepatic veins, as well as a transverse cross section of the inferior vena cava. | The four cardiac chambers, the right ventricular outflow tract, the aorta, and the vena cava can be visualized in the subcostal view. Sometimes, it is also possible to visualize a portion of the abdominal aorta. Pointing the transducer toward the right side of the patient would result in a good view of showing the liver and suprahepatic veins, as well as a transverse cross section of the inferior vena cava. | ||