TEE views
In this chapter we will review the 11 views you will be expected to recognize for the OSCEs. To fully understand the cuts made by the planes generated by the probe we encourage you to use the 3D heart companion to this page that you can access here. Explore the companion TEE views with pathology in this link.
Mid Esophageal 4 Chamber View
To obtain this view the TEE probe is advanced to the
mid-esophagus behind the LA.
The sector depth should be 14cm and omniplane of 0-10°. The omniplane on this view is at 38 degrees
RA LA
TV AMVL PMVL
IS AL
RV LV
Here we visualize: Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) [inferoseptal (IS) + anterolateral (AL) walls], Right Ventricle (RV), Mitral Valve [anterior(AMVL), posterior (PMVL) leaflets], Tricuspid Valve [Septal (STVL), Anterior (ATVL) leaflets]
Mid Esophageal 2 Chamber View
To obtain this view, from ME 4 chamber omniplane to 90°
LA
PMVL AMVL
Inferior Anterior
LV
Here we visualize: Left Atrium (LA), Left Ventricle (LV) [Anterior and Inferior walls], Mitral Valve [anterior(AMVL), posterior (PMVL) leaflets], coronary sinus (CS).
Mid Esophageal Long Axis
To obtain this view, from ME 4 chamber omniplane to
120-130°
LA
PMVL AMVL
LVOT AV
Inferolat
Antero sept
LV
Here we visualize: Left Atrium (LA), Left Ventricle (LV)[anteroseptal and inferolateral walls], Mitral Valve [anterior (AMVL), posterior (PMVL) leaflets], Aortic Valve (AV), Left Ventricular outflow tract (LVOT).