Trans-oesophageal Echocardiography
(TOE, TEE)
 
Contents
An Introduction
Preparing the patient
Inserting the probe
Transverse views
Longitudinal views
The aorta
The multiplane probe
How it works (incl. Doppler)
References
CAUTION
- GRAPHIC RICH ENVIRONMENT
These pages have to be rich in graphic content - but we have tried to be Web-appropriate, limiting video size to a tiny 40-80K per clip (at the expense of fine definition)! We've tested modern browsers (Mozilla and Firefox 1.0) and also IE5 and IE6. If videos don't play: look below clickable images and you'll see tiny MPG, QT and Real links which should directly launch Windows MPEG, Quicktime and Real Player videos (but these won't loop).

In presenting TOE images we've tried to be systematic. We've followed the really old-fashioned practice of working systematically through 'transverse' and 'longitudinal' views, despite the fact that modern probes allow multiplane images! We believe that this approach gives novices a really good grounding in the anatomy, and minimises disorientation --- TOE can be very confusing.

The following table provides cross-references to the American Society of Echocardiographers' "Standard Views" for trans-oesophageal echo (TOE, TEE). Although these views provide an excellent basic platform for describing the echo, we cannot over-emphasise the need to regard TOE examination of the heart as a continuum rather than just a 'set of views'. It's also important to assimilate the whole package of appropriate use of TOE, and correct transmission of information to the patient and to colleagues, and not just the technical aspects.

Some of the following images are far from perfect, and we have 'greyed out' images where no good view is currently obtainable on the site.

ASE Recommended Comprehensive TEE Examination
ASE view:
ME 4 Chamber
ASE view:
ME 2 Chamber
ASE view:
ME LAX
ASE view:
TG mid SAX
ASE view:
TG 2 Chamber
ASE view:
TG Basal SAX
ASE view:
ME Mitral Commissural
ASE view:
ME AV SAX
ASE view:
ME AV LAX
ASE view:
TG LAX
ASE view:
Deep TG LAX
ASE view:
ME Bicaval
ASE view:
ME RV In/outflow
ASE view:
TG RV Inflow
ASE view:
ME Asc Aortic SAX
ASE view:
ME Asc Aortic LAX
ASE view:
Desc Aortic SAX
ASE view:
Desc Aortic LAX
ASE view:
UE Aortic arch LAX
ASE view:
UE Aortic arch SAX

Please note that (apart from a few blurry images of dubious provenance) these web-pages are
Copyright © J van Schalkwyk, 2002-4, and that the videos are Copyright © Olaf Larson, 2002-4!
Any mistakes are Jo's. Do not base any clinical decisions on this simple tutorial!


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