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TEE views and Pathology
In this chapter we will review the 11 views you will be expected to recognize plus some pathology to help you with pattern recognition. The pathology seen here is explored in other chapters of this website.
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°.
Clockwise:
Clip 1. Normal LV and RV function.
Clip 2. Severely Depressed RV and hyperdynamic LV.
Clip 3. Severely depressed LV and RV function.
Clip 4. Flail of the posterior MV leaflet indicating Severe Mitral Regurgitation
RA LA
TV AMVL PMVL
IS AL
RV LV
1
2
3
4
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°
On these images,
Clip 1. Normal Function.
Clip 2. Severely Depressed LV EF. RA also appears enlarged on this view.
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°
On these images,
Normal function vs
Stuck non coronary or left coronary cusp.
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).