Trans-oesophageal Echocardiography  

(TOE, TEE)

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

ME 4 Chamber ME 2 Chamber ME LAX TG mid SAX

TG 2 Chamber TG Basal SAX ME Mitral Commissural ME AV SAX

ME AV LAX TG LAX Deep TG LAX ME Bicaval

ME RV In/outflow TG RV Inflow ME Asc Aortic SAX ME Asc Aortic LAX

Desc Aortic SAX Desc Aortic LAX UE Aortic arch LAX UE Aortic arch SAX