3 ways to find the bicaval transthoracic view.:

The principle to understand is that the SVC has a anterior position in the
chest and the IVC has a more posterior in the abdomen.

First .: You start above the right clavicle to visualize the SVC then you
angulate slowly posteriorly to see the IVC in the bicaval view.

Second.: You start from the subcostal view to visualize the IVC then you
angulate slowly anteriorly to see the SVC in the bicaval view.

Third.: You start from an horizontal view of the Right ventricle 2
chambers then you make an anterior move to find the SVC and angled
slowly posteriorly to see the bicaval view .

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4CH view by apical using an up and down sweep

Coronary Sinus:

Classical 4CH:

5CH:

P.V andASC. Aorta:

Aortic Arch:

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4CH view by subcostal using an up and down sweep

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