Q. Can you explain Para-sternal View?

Various congenital anamolies can be detected in this view are perimembranous VSD (transducer anbled towards right hip), doubly committed VSD (transducer angulated towards lbft shoulder), aortic sinus prolapse, RSOV, abnormal origin of great vessels and atdnormalities related to pulmonary valve and main pulmonary artery.

This view provides unique opportunity to recognize bicuspid aortic valve, the type of VSD, aortic valve prolapse, pulmonary valve stenosis, evaluation of branch pulmonary arteries, abnormal origin of coronary arteries and coronary AV fistula. Inter atrial septum, pulmonary veins and left atrial appendage can also be interrogated in this view. Angulation of the transducer towards left hip joint images mitral valve in short axis view and papillary muscles (4 and 8 O'Clock position). By sweeping the transducer towards left hip inter ventricular septum can be scanned for muscular VSDs.