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1

!"#$%
#'()!*!+!,-
.!%/ 0 *+1)'+)1%* !"#$%2 *!")3#+,1
+,% !"#$%
"!2,%*,45#$%#3
", 6'
MC (30-
40cm)
0-20 +/-
sllghL
reLroflexlon











Lv: basal, mld and aplcal
anLerosepLal and lnferolaLeral
walls
LA
8v
8A
Mv: A3, 1
1v: (AnL, SepLal) & lAS


", 3. 7'
MC 0-20
WlLhdraw
probe
sllghLly



Lv: anLerosepLal , lnferolaLeral
LvC1



", 3. 8'
MC 80-100



Lv: enLlre anLerlor and lnferlor
walls



2
", 3. 3#9
MC 120-
160



Lv: enLlre anLerosepLal and
lnferolaLeral walls


", 1. 6' :
MC 0-20
1urn rlghL
(8v
focussed)


8v




", 1.
;<=>?@A
?BC=>?@
MC 60-90
Lurn rlghL
and
wlLhdraw
sllghLly




8v, free wall
8A
8vC1
1v
v
A



3
",
'?DD;EEBFG>
vlew MC 60-
70



Mv: 1, A2, 3


", #. *#9
MC 30-60
WlLhdraw
sllghLly



Av: all cusps
lAS
Coronary osLla
LvC1
v


", #. 3#9
MC 120-
160



Av: lefL or non cc + rcc (below)
LvC1
rox asc aorLa
A



4
", H;IGJG>
MC 80-110
+ Lurn rlghL
sllghLly


SvC
LA
8A
lAS
lvC


",
D?K;=;LK
H;IGJG>
MC 110-
130 afLer
cenLred on
lAS. May also
be obLalned
aL 30-70
o
as
noLed ln
Pahn









SvC
LA
8A
lAS
1v


", 3## :
MC 0-90,
cenLre and
roLaLe
Lhrough
lobes


LAA
LlgamenL of Marshall



5
", 8'
3)4.:
0-90 Lurn
lefL +/-
secLor
roLaLlon back
Lo ~60 "# $%
&'# ($)*+
,%' -. /01)2
$*3 4'52
6,78"*$#9
:'0*% ;0'<%


Luv



", 8'
334.:
0-90 (Lurn
furLher lefL
Lhan Luv)
advance Lo
Av [uncLlon,
[usL below
Luv (runs
laLeral Lo
medlal) "#
$% &'# ($)*+
,%' -. /01)2
$*3 4'52
6,78"*$#9
:'0*% ;0'<%


LLv



", 6' 134.
:
0-30 +/-
advance Lo
Av [uncLlon









8Lv



6
", 6' 1)4.
0-30 Lurn
rlghL +/-
reLroflexlon
+/- wlLhdraw


8uv
Mld asc aorLa
SvC



", M;IGJG>
1)4. :
MC 80-110
+ Lurn lefL
(conslder
secLor back
Lo 90 for
uoppler llne-
up)










8uv


", GEI
G?FCG *#9
MC 0-60



Asc aorLa
SvC
A
8) A



7
", GEI
G?FCG 3#9
MC 100-
130



Asc AorLa
8) A


",
I?F?<GFN
E;<BE :










Coronary Slnus



2LEI G?FC;I
*#9
0-10
ulaphragm
Lo LefL
subclavlan.
Conslder
lncreaslng
frequency
and ad[usL
1CC


uesc aorLa
LefL pleura



8
2LEI G?FC;I
3#9
90-110
ulaphragm
Lo lefL
subclavlan



uesc aorLa
LefL pleura


+1#-*$#*+1!'
+$ D;K *#9
1C (40-
43cm)
0-20 +/-
anLeroflexlo
n.
Conslder
reduclng
frequency
and ad[usL
1CC








Lv
8v
ap mm



+$ HGEG> *#9
1C 0-20
+
anLeroflexlo
n
+/- wlLhdraw










Lv
Mv: A1,A2,A3, 1,2,3, AMC,
MC
8v
1v




9
+$ GO;IG>
1C 0-20
Less
anLeroflexlo
n
+/- advance



Lv apex
8v apex


+$ 3. 8'
1C 80-100



Lv: lnferlor and anLerlor walls
Mv, Chordae,
ap mm
CS
LA


+$ 3. 3#9
1C 90-120



Lv
LvC1
Av
Mv





10
+$ 1. *#9:
1C 0-10
1urn rlghL



8v: free and sepLal walls



+$ 1. ;<=>?@
1C 100-120


8v
1v
8A
1v chordae
ap mm


2%%4 +1#-*$#*+1!'
2LLO +$ 3#9
ueep 1C 43-
30cm
0-20
Advance
pasL apex +
anLeflexlon



LvC1
Av
Asc aorLa
AorLlc arch




11
+$P2LLO +$
1. HGEG>
ueep 1C
0-
20+anLeflex
lon,
wlLhdraw +
Lurn rlghL
8v
8vC1
v
A


)44%1 ,%*,45#$%#3
)OOLF
?LE?OQGRLG>
S),T G?FC;I
GFIQ *#9
uC (20-
23cm)
90



AorLlc arch
ulm arLery
v



), G?FC;I
GFIQ 3#9
uC 0-10



AorLlc Arch



12

* = non-Pahn vlews
)% 1;RQC G<K
3L=C
4B>D?<GFN
JL;<E J;L@
upper
oesophageal
90-110
1urn rlghL
for rlghL
velns, lefL for
lefL velns

upper and lower pulmonary
velns
A

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