Abstract
The use of a noncomprehensive basic perioperative transesophageal echocardiographic (PTE) examination, both for intraoperative monitoring and outside of the operating room, is increasing in practice. Cardiac causes of hemodynamic instability, such as ventricular dysfunction, valvular abnormalities, volume status changes, and pericardial abnormalities can be identified with the basic PTE examination. A basic PTE exam is intended to be complementary to comprehensive echocardiography, and thus the practitioner must also recognize when further investigation of an abnormality by an echocardiographer with advanced imaging skills may be required. While the consensus statement of the American Society of Echocardiography (ASE) and Society of Cardiovascular Anesthesiologists (SCA) identifies 11 views for the basic PTE examination, the additional 9 views that comprise the comprehensive examination will also be discussed for completeness.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- TEE:
-
Transesophageal echocardiography
- PTE:
-
Perioperative transesophageal
- ASE:
-
American Society of Echocardiography
- SCA:
-
Society of Cardiovascular Anesthesiologists
- ME:
-
Midesophageal
- AV:
-
Aortic valve
- LVOT:
-
Left ventricular outflow tract
- RA:
-
Right atrium
- LA:
-
Left atrium
- RV:
-
Right ventricle
- LV:
-
Left ventricle
- TV:
-
Tricuspid valve
- MV:
-
Mitral valve
- LAX:
-
Long axis
- SVC:
-
Superior vena cava
- IVC:
-
Inferior vena cava
- ASD:
-
Atrial septal defect
- PFO:
-
Patent foramen ovale
- RVOT:
-
Right ventricular outflow tract
- SAX:
-
Short axis
- TG:
-
Transgastric
- UE:
-
Upper esophageal
References
Reeves ST, Finley AC, Skubas NJ, Swaminathan M, Whitley WS, Glas KE, et al. Basic perioperative transesophageal echocardiography examination: a consensus statement of the american society of echocardiography and the society of cardiovascular anesthesiologists. J Am Soc Echocardiogr. 2013;26(5):443–56.
Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. J Am Soc Echocardiogr. 1999;12(10):884–900.
Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, et al. 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(9):921–64.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic supplementary material
Below is the link to the electronic supplementary material.
ME four-chamber view (AVI 11,487 KB)
ME two-chamber view (AVI 11,020 KB)
ME LAX view (AVI 11,999 KB)
ME AV SAX view (AVI 10,674 KB)
ME RV inflow–outflow view (AVI 16,682 KB)
ME bicaval view (AVI 13,272 KB)
ME ascending aortic SAX view (AVI 10,417 KB)
ME ascending aortic LAX view (AVI 10,997 KB)
TG midpapillary SAX view (AVI 14,716 KB)
Descending aortic SAX view (AVI 12,152 KB)
Descending aortic LAX view (AVI 12,098 KB)
Descending aortic SAX view (AVI 11,474 KB)
ME mitral commissural view (AVI 9,214 KB)
ME AV LAX view (AVI 10,509 KB)
TG basal SAX view (AVI 2,329 KB)
TG two-chamber view (AVI 9,984 KB)
TG LAX view (AVI 3,868 KB)
Deep TG LAX view (AVI 8,996 KB)
TG RV inflow view (AVI 8,641 KB)
UE aortic arch LAX view (AVI 12,636 KB)
UE aortic arch SAX view (AVI 8,744 KB)
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Nhieu, S. (2016). Transesophageal Echocardiography: Essential Views. In: Maus, T., Nhieu, S., Herway, S. (eds) Essential Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-34124-8_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-34124-8_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-34122-4
Online ISBN: 978-3-319-34124-8
eBook Packages: MedicineMedicine (R0)