TEE views 

In this chapter we will review the 11 views you will be expected to recognize for the OSCEs. 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).

 

Mid Esophageal Ascending Aorta Long Axis

To obtain this view from ME 4 long axis withdraw the probe to bring the right pulmonary artery in view. 

 

Here we visualize: Ascending Aorta in Long axis, Right pulmonary artery in short axis.