Chapter 3. How to do a 3D Echocardiogram: Examination Protocol and Normal Anatomy

  1. Navin C. Nanda MD, FACC, FAHA Professor of Medicine Director1,2,
  2. Ming Chon Hsiung MD Physician Associate Researcher3,4,
  3. Andrew P. Miller MD, FACC, FAHA Assistant Professor of Medicine5,6 and
  4. Fadi G. Hage MD Assistant Professor6,7

Published Online: 14 MAY 2010

DOI: 10.1002/9781444320305.ch3

Live/Real Time 3D Echocardiography

Live/Real Time 3D Echocardiography

How to Cite

Nanda, N. C., Hsiung, M. C., Miller, A. P. and Hage, F. G. (2010) How to do a 3D Echocardiogram: Examination Protocol and Normal Anatomy, in Live/Real Time 3D Echocardiography, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444320305.ch3

Author Information

  1. 1

    Division of Cardiovascular Diseases, Heart Station/Echocardiography Laboratories University of Alabama at Birmingham, USA

  2. 2

    Echocardiography Laboratory, The Kirklin Clinic, University of Alabama Health Services Foundation Birmingham, AL, USA

  3. 3

    Division of Cardiology, Taipei, Taiwan, Republic of China

  4. 4

    Department of Medical Research and Education, Cheng Hsin General Hospital, Taipei, Taiwan, Republic of China

  5. 5

    CardioVascular Associates, PC, Birmingham, AL, USA

  6. 6

    Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, AL, USA

  7. 7

    Section of Cardiology, Birmingham Veteran's Administration Medical Center, Birmingham, AL, USA

Publication History

  1. Published Online: 14 MAY 2010
  2. Published Print: 2 JUL 2010

ISBN Information

Print ISBN: 9781405161411

Online ISBN: 9781444320305



  • live/real time 3D echocardiography - breakthrough in cardiac imaging, heart in a more realistic display;
  • current 3D transducers - broadband 4 MHz matrix phased array systems;
  • 3D examination protocol;
  • standard 2D transthoracic echocardiographic (2DTTE) imaging;
  • transducer positions for live 3D echocardiography standard examination;
  • left parasternal approach - from 2D echocardiography;
  • 2D and live/real time 3D transthoracic echocardiographic (3DTTE) - SVC) and right pulmonary artery identification;
  • subcostal approach - for multiple cardiac structure visualization;
  • live 3D right parasternal transthoracic echocardiographic examination - of ascending aorta and right atrial appendage (RAA)


This chapter contains sections titled:

  • 3D imaging

  • 3D examination protocol

  • Left parasternal approach (Figure 3.11–3.21)

  • Apical approach (Figures 3.22 and 3.23)

  • Subcostal approach (Figure 3.24)

  • Suprasternal approach (Figure 3.25)

  • Supraclavicular approach (Figure 3.26)

  • Right parasternal approach (Figures 3.27–3.29)

  • References