Transesophageal views

1. TEE VIEWS
Dr.Anita

2. Presentation title
2
The original standard 20 TEE
views that comprise a
comprehensive TEE exam as
described by the SCA/ASE
(1999) have been augmented by
8 additional views
25-28 cm
29-33cm
38-42cm
>42 cm

3. Yellow: mid-esophageal (ME) views that examine the LV and MV

4. Green: ME views that examine the AV, TV, bi caval, and pulmonary veins

5. Blue: ME and upper-esophageal (UE) views for different regions of the aorta

6. Orange: trans gastric (TG) views that examine the LV, RV, and AV with good spectral and tissue
Doppler alignment

8. MID ESOPHAGEAL 4 CHAMBER VIEW

10. MID ESOPHAGEAL 5 CHAMBER VIEW

12. MID ESOPHAGEAL 2 CHAMBER VIEW

13. Use this view to
Diagnose
•Mitral Valve disease
•LV function
•LA pathology

14. MID ESOPHAGEAL LONG AXIS VIEW

15. •LV function,MV disease ,AV and Aortic Root disease ,Interventricular Septum pathology

16. MID ESOPHAGEAL AORTIC SHORT AXIS

17. AV morphology 3 cusps: Non (N), Right (R), Left (L) AV pathology Commissures, coaptation points AV area
planimetry Secundum ASD Patent Foramen Ovale (PFO) Inter-Atrial Septum (IAS): LA size (anterior-
posterior diameter)

18. MID ESOPHAGEAL AORTIC LONG AXIS

19. left Atrium (LA) AV pathology Left Ventricular Outflow Tract (LVOT) Ventricular Septal Defect (VSD)
Aortic Valve (AV)Right Cusp (RCC), left or non-cusps MV pathology Color Doppler Aortic root
pathology Mitral Valve (MV): P2/A2 segments LA pathology

20. MID ESOPHAGEAL RV INFLOW OUTFLOW

21. Pulmonic valve pathology Pulmonary artery pathology RVOT pathology TV pathology TV
Doppler PW: antegrade flow CW: retrograde flow (TR) Atrial Septal Defect (ASD secundum)

22. MID ESOPHAGEAL BI CAVAL VIEW

23. IAS pathology Patent Foramen Ovale (PFO) Superior Vena Cava (SVC) Mass Inferior Vena Cava
(IVC) SVC/IVC flow Measure Venous catheters, Pacemaker wires Inter-Atrial Septum (IAS) Venous
cannula position (SVC/IVC) Color Doppler (low velocity) Pericardial effusion

24. MID ESOPHAGEAL DESCENDING AORTIC
SAX

25. Aorta pathology Atherosclerosis , Dissection , Aneurysm , IABP position

26. MID ESOPHAGEAL DESCENDING AORTA
LAX

27. Aorta pathology Atherosclerosis, Dissection , Aneurysm IABP position .

28. TRANS GASTRIC MID SHORT AXIS

29. LV cavity size LV wall thickness LV systolic function Global, regional motion
Papillary muscles: Ventricular Septal Defect (VSD) Pericardial effusion

30. TRANS GASTRIC 2 CHAMBER

31. LV systolic function subvalvular apparatus MV pathology Pericardial
effusion

32. TRANS GASTRIC BASAL SHORT AXIS

33. •Left Ventricle: size, function
•Ventricular Septal Defect (VSD)
•Mitral Valve: planimeter orifice are

34. TRANS GASTRIC LONG AXIS VIEW

35. •Mitral Valve Pathology
•Ventricular Septal Defects
(VSD)
•LV systolic function
•Aortic Valve: spectral and
color doppler
•LVOT: spectral and color
doppler

36. DEEP TRANS GASTRIC LONG AXIS

37. •Paravalvular leak prosthetic aortic valve
•AV gradient spectral doppler
•LVOT gradient spectral doppler

38. TRANS GASTRIC RV INFLOW

39. •RV function
•Tricuspid Subvalvular
apparatus pathology
•Tricuspid Valve
pathology

40. Upper esophagus aortic arch long axis

41. PDA, Aortic arch pathology , pulmonary valve pathology
Upper esophagus aortic arch short axis

42. Upper esophageal ascending aorta long axis

43. PA pathology, PA catheter in svc,PDA ,PA Embolus
Upper esophageal aortic short axis