Assess systemic atrioventricular (tricuspid) regurgitation |
Use colour flow imaging to assess systemic or venous baffle obstruction |
Use colour flow imaging to determine presence of baffle leak |
If appropriate use contrast to look for obstruction or leak |
Assess pulmonary pressure from velocity of mitral regurgitation |
Exclude left ventricular outflow tract obstruction |
Use transoesophageal imaging if precordial ones are not satisfactory |
Remember the right ventricle is the systemic one and the left the pulmonary |