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EE - standard imaging views

m ECHOpedia

sesophageal Echocardiographic imaging views. Adapted from Shanewise et al. [1]

Transesophageal Echocardiographic Anatomy

ME two-chamberProbe adjustment: neutral Sector depth: ~14 cm

Primary diagnostic issues

LA appendage

Mass/thrombus

LV apex pathology

LV systolic dysfunction (apical

segments)

Required structures

LA appendage

Mitral valve

LV apex (i.e., maximal LV length)

ME LAX Probe adjustment: neutral Sector depth: ~12 cm

Primary diagnostic issues

Mitral valve pathology

LVOT pathology

Required structures

LV

Mitral valve

LVOT

ME mitral commissural Probe adjustment: neutral Sector depth: ~12 cm

Primary diagnostic issues

Localization of mitral valve

pathology

Required structures

Mitral valve (P1, P3and A2scallops)

Papillary muscles/chordae tendineae

LA

LV

TG mid-SAX Probe adjustment: neutral Sector depth: ~12 cm

Primary diagnostic issues

Hemodynamic instability

LV enlargement

LV hypertrophy

LV systolic dysfunction (global and

regional)

Required structures

LV cavity

LV walls (at least 50% of circumferenc

with visible endocardium)

Papillary muscles (approximately equal

size and distinct from ventricular wall)

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TG two-chamber Probe adjustment: neutral Sector depth: ~12 cm

Primary diagnostic issues

LV systolic dysfunction (anterior

and inferior basal segments)

Required structures

Mitral leaflets

Mitral subvalvular apparatus

LV (anterior and inferior: basal plus mil

segments)

TG RV inflow Probe adjustment: neutral-rightward Sector depth: ~12 cm

Primary diagnostic issues

RV systolic dysfunction

Tricuspid valve pathology

Required structures

Tricuspid leaflets

Tricuspid subvalvular apparatus

TG RV inflow-outflow Probe adjustment: neutral-rightward Sector depth: ~14 cm

Primary diagnostic issues

RV systolic dysfunction

RVOT pathology

Pulmonary artery pathology

Pulmonic valve evaluation

Required structures

RA

RV

Main pulmonary artery

Pulmonic valve

TG basal SAX Probe adjustment: neutral Sector depth: ~12 cm

Primary diagnostic issues

LV systolic dysfunction (basal

segments)

Mitral valve pathology

Required structures

Mitral leaflets

Mitral subvalvular apparatus

LV (basal segments)

TG LAX Probe adjustment: neutral-leftward Sector depth: ~12 cm

Primary diagnostic issues

LV systolic dysfunction

(anteroseptal and posterior: basal

segments)

Doppler evaluation of aortic valve

Required structures

Mitral leaflets

Mitral subvalvular apparatus

LV (anteroseptal and posterior: basal plu

midsegments)

Aortic valve

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Deep TG LAX Probe adjustment: neutral Sector depth: ~16 cm

Primary diagnostic issues

Aortic valve pathology

LVOT pathology

Doppler evaluation of aortic valve

Required structures

LV

Aortic valve

Aorta

ME, midesophageal; Asc, ascending; SAX, short axis; LAX, long axis; UE, upper esophageal; Desc, descending; AV, ao

valve; RV, right ventricular; LVOT, left ventricular outflow tract; RA, right atrium; LA, left atrium; LV, left ventricular;

RVOT, right ventricular outflow tract; TG, transgastric.

ferences

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. Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew

Quiones MA, Cahalan MK, and Savino JS.ASE/SCA guidelines for performing a comprehensive intraopermultiplane transesophageal echocardiography examination: recommendations of the American Society of

Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular

Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography.Anes

Analg 1999 Oct; 89(4) 870-84. pmid:10512257.

http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?cmd=prlinks&dbfrom=pubmed&retmode=ref&id=10512257http://creativecommons.org/licenses/by-nc-sa/3.0/http://www.echopedia.org/index.php?title=TEE_-_standard_imaging_views&oldid=4915http://www.echopedia.org/wiki/File:Deep_TG_LAX.svghttp://www.echopedia.org/wiki/File:TG_LAX.svg