The sequence of the following views is based on the position of the transesophageal echocardiography (TEE) probe in the
esophagus and/or stomach. The course of the examination depends on the specific clinical questions and will be influenced
by the patient tolerance. The views shown here should only serve as orientation, since anatomy and anatomic
relationships may differ from patient to patient, an on the other hand, omniplane transesophageal examination
allows all possible views between 0 and 180°.
Upper position - view of the great vessels, 0°:
the ascending aorta (Ao), the main pulmonary artery (MPA) and the right pulmo- nary artery (RPA)
can be displayed.
Upper position - view of the aortic valve and
the pulmona- ry artery, 40-50°:
the aortic valve (AV), the main pulmonary artery (MPA), the right ventricular
outflow tract (RVOT) and the left atrium (LA) can be displayed.
Upper position - view of the aortic valve, 40-50°:
the aortic valve (AV), the left atrial appendage (LAA) and the left atrium (LA) can be displayed.
Mid-position views, 0°:
the left (LV) and the right ventricle (RV), as well as the left (LA) and
right atrium (RA) can be displayed. This view is similar to the four-chamber
view in TTE. It is possible to get a two-chamber view (60°) and
three-chamber view (120°) from this position.
Mid-position views, 90° left:
the left ventricle (LV), the left atrium (LA), the left atrial appendage (LAA) and the
left upper pulmonary vein (LUPV) can be displayed.
Mid-position views, 90° right:
the left (LA) and right atrium (RA), as well as the right atrial appendage (RAA),
the superior vena cava (VCS), the right pulmonary artery (RPA), the interatrial
septum and the inferior vena cava (VCI) can be displayed.
Mid-position views, 90° further right:
the left atrium (LA), the right upper pulmonary vein (RUPV) and the right pulmonary
artery (RPA) can be displayed.
Mid-position views, 120°:
the ascending aorta (Ao), the left atrium (LA), the left ventricular outflow
tract (LVOT) and part of the right ventricular outflow tract (RVOT) can be displayed.
Transgastric view - short axis, 0°:
the left (LV) and the right ventricle (RV), as well as the liver can be displayed.
Transgastric view - long axis, 90°:
the left ventricle (LV) and the mitral valve apparatus (*) can be displayed.
Dorsal view - during pullback, 0°:
the descending aorta (AD) can be displayed.
Exit view, 0°:
last view before TEE probe pullback is completed. At the upper part of the ascending
aorta turn the probe to the right, to display the aortic arch (AB) completely.
Overview
