Subcostal

Surface Anatomy

A particularly important view in ICU echocardiography as it may be the only available acoustic window. The transducer is placed just inferior to the xiphisternum with the transducer marker pointing to the left flank.

3d

Normal 2d

subcostal

All four chambers are visible.

Cavities

subcostal cavities

Also note the pericardium visible both anteriorly and inferiorly. The right ventricular free wall is visible anteriorly, the motion of which is assessed in the diagnosis of tamponade.

Valves

subcostal valves

Both the tricuspid and mitral valves are visible. The interatrial septum is seen in this view.

2d Video

Subcostal IVC Transition

For the Subcostal IVC view the transducer is rotated 90 degrees anti-clockwise. The beam is then directed to the patient's right mid-clavicular line and angled slightly posteriorly.

3d

IVC Normal 2d

subcostal IVC normal 2d

The IVC is brought into the imaging plane by rotating the probe 90 degrees anticlockwise.

IVC Vessels

subcostal IVC vessels

Caution should be taken in correctly identifying the IVC (vs. abdoinal aorta). IVC measurements are taken here.

IVC 2d Video