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I’ve started my cardiothoracic anesthesia fellowship. With the written board exam behind me, I can now focus on reading echo and cardiac anesthesia stuff. This weekend, I mapped out a 20 standard TEE views that I’d like to try.
4C (0) – overall look at the heart
ME mitral commissural view (60)
ME 2C (90) — coronary sinus
ME LAX (120)
4C — now focus on the R heart
AV SAX (40)
AV LAX (130)
ME Bicaval (110) turn to pt’s R
ME RV inflow/outflow (80) turn to pt’s L
5C (0)
ME Asc Ao SAX (40) — w/d probe
ME Asc Ao LAX (130)
5C –> Pulm veins: LUPV — w/d probe omni or turn to pt’s L; LLPV — adv probe (see as LAA disappears); RUPV — turn probe to pt’s R or from ME bicaval — turn probe R or omni 130, appears as SVC disappears; RLPV (0)– transverse to RUPV (seen in bicaval view), slightly adv probe
TG basal SAX (0) — “fish mouth”
TG mid SAX (0) — FAC, SWMA, EDA/ESA; view LV and RV
TG 2C (90) — Subvalvular apparatus
TG LAX (120)
TG RV inflow (90, turn probe to pt’s R) or from TG mid SAX (0)–>focus on RV–>90. “Tricuspid subvalvular apparatus”
Deep TG LAX (120)
ME 4C (0) turn probe to pt’s L –> adv to distal aorta = Desc Ao SAX (can also see L pleural effusion in thoracic region)
Desc Ao LAX (90)
UE Ao arch LAX (0)
UE Ao arch SAX (90) –> L subclavian


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