Show me the POCUS
TEE Planes
In this chapter we will review the 11 views and the planes they represent in a 3D model of the heart for your reference. Explore the companion TEE views with pathology in this link.
Mid Esophageal 4 Chamber View
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
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
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).
Trans Gastric Mid Pappillary Short Axis
Inf
Inf sept Inf lat
Ant sept Ant Lat
Ant
Here we visualize: LV [ Mid anterior, mid inferior, mid anteroseptal, mid inferoseptal, mid anterolateral, mid inferolateral walls], anterolateral and posteromedial papillary muscles, Right Ventricle.
Mid Esophageal RV inflow outflow
LA
IAS
RA
TV PV
Here we visualize: Aortic Valve (AV), Tricuspid Valve (anterior/septal and posterior leaflet ), Left Atrium (LA), Right Atrium (RA), Pulmonic Valve (PV), Right ventricular outflow tract (RVOT).
Mid Esophageal Aortic Valve Short Axis
LCC
NCC
RCC
Here we visualize: Aortic Valve (AV)[Non coronary cusp NCC, Left coronary cusp LCC and Right coronary cusp, RCC], Tricuspid Valve (anterior/septal and posterior leaflet ), Left Atrium (LA), Right Atrium (RA), Pulmonic Valve (PV), Right ventricular outflow tract (RVOT).
Mid Esophageal Bicaval
LA
IAS
IVC
SVC
CT
Here we visualize: Left Atrium (LA), Right Atrium (RA), Inferior Vena Cava (IVC), Superior Vena Cava (SVC), Inter-atrial septum (IAS), Crista Terminalis (CT).
Mid Esophageal Descending Aorta Long and Short Axis
1
1
2
2
Here we can appreciate the short axis of the descending aorta (clip 1) while clip 2 is its long axis appearance. They display high degree of calcification within the lumen.
1
2
References
1. Hahn R and all. Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 2013;26:921-64