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To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. So a prominent A wave in a complex congenitalheartdisease situation would indicate that interventricular septum is intact. These are assessed in the internal jugular vein and not in the external jugular vein.
A good knowledge of the anatomy of the heart is needed for interpretation of images from each view. This becomes more difficult in complex congenitalheartdiseases where the cardiac chamber positions and size may vary. Parasternal views are often obtained first, followed by apical, subcostal, and suprasternal.
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