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Subcostal Views
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Education>Expert TTE>Image Orientation>Suprasternal Views>1
 
Suprasternal Notch Aortic Arch View
 
The suprasternal window is imaged with the patient in the supine position, with his or her chin slightly tilted toward the ceiling. The transducer index mark is pointed directly at 12 o’clock toward the patient’s neck. The suprasternal notch view allows for visualization of the ascending aorta, aortic arch, and descending aorta in long axis.  The great vessels can also be seen coming off of the aortic arch.  This view can be used to evaluate color flow Doppler of the aortic arch for any signs of turbulent flow. The arch can also be imaged in a short axis view, and evaluated for any significant dilation, aneurysms or aortic dissections. If Doppler angles allow, spectral Doppler can be performed through the long axis of the ascending or descending aorta to identify any stenosis or diastolic flow reversal significant for severe aortic insufficiency.
 
TTE Suprsternal Notch View Image
TTE Suprsternal Notch View Image
 
SSN Aortic Arch Video Image w labels
SSN Aortic Arch Video
 
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CME Sponsor: University of Nebraska Medical Center - Center for Continuing Education This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of University of Nebraska Medical Center, Center for Continuing Education and JLS Interactive, LLC.
The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CE Sponsor: American Society of Radiological Technologists (ASRT)This activity is approved by the American Society of Radiologic Technologists (ASRT) as sonography-related continuing education (CE). Credit(s) issued for successful completion of ASRT-approved CE activities are accepted by the American Registry of Diagnostic Medical Sonography, American Registry of Radiological Technologists, Cardiovascular Credentialing International and Canadian Association of Registered Diagnostic Ultrasound Professionals. Contact the applicable registry for additional information / restrictions on their acceptance of ASRT CE credit.
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