TEE Exam
Basic Exam (Cahalan)
Comprehensive Exam
Aortic Valve Measures

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Images from J. Kent Garman's page - thanks!

BASIC TEE EXAM (from Cahalan)

  1. ME AV 8 cm SAX 60°
  2. ME AV 8 cm LAX 130°
  3. CFD of AV
  4. ME Bicaval 10 cm 110°
  5. ME RV Inflow-Outflow 12 cm 80°
  6. CFD of PV
  7. ME 4 Chamber 14 cm 15°
  8. CFD of MV
  9. CFD of TV
  10. ME 2 Chamber 90°
  11. ME LAX 8 cm 120°
  12. TG MP SAX 12 cm 0°
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COMPREHENSIVE TEE EXAM

  1. ME 4 Chamber 14 cm 15°
  2. ME 2 Chamber 90°
  3. ME LAX 8 cm 120°
  4. TG MP SAX 12 cm 0°
  5. TG 2 Chamber 90°
  6. TG Basal SAX 0°
  7. ME Mitral Commissural 80°
  8. ME AV 8 cm SAX 60°
  9. ME AV 8 cm LAX 130°
  10. TG LAX 120°
  11. Deep TG LAX 0°
  12. ME Bicaval 10 cm 110°
  13. ME RV Inflow-Outflow 12 cm 80°
  14. TG RV Inflow 120°
  15. ME Asc Aortic SAX 20°
  16. ME Asc Aortic LAX 100°
  17. Desc Aortic SAX 0°
  18. Desc Aortic LAX 90°
  19. UE Aortic Arch LAX 0°
  20. UE Aortic Arch SAX 90°
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SHERNAN ORDER

1. Rotate from 0° to ~120°
  • ME 4 Chamber 14 cm 15°
  • ME Mitral Commissural 80°
  • ME 2 Chamber 90°
  • ME LAX 8 cm 120°
  • 2. With angle ~90°, sweep R to L
    3. Start at 0-20°
    4. Advance to stomach, anteflex Back to Top of Page
     

    YUE ORDER (go right to the images)

    1. ME 4 Chamber 15°
    2. ME Mitral Commissural 80°
    3. ME 2 Chamber 90°
    4. ME LAX 120°
    5. ME AV SAX 60°
    6. ME AV 8 cm LAX 130°
    7. ME Bicaval 110°
    8. ME RV Inflow-Outflow 80°
    9. TG MP SAX 0°
    10. withdraw slightly: TG Basal SAX 0°
    11. TG 2 Chamber 90°
    12. 90-120°: TG LAX 120°
    13. turn R: TG RV Inflow 120°
    14. advance, anteflex: Deep TG LAX 0°
    15. Desc Aortic SAX 0°
    16. Desc Aortic LAX 90°
    17. UE Aortic Arch LAX 0°
    18. ME Asc Aortic SAX 20°
    19. ME Asc Aortic LAX 100°
    20. UE Aortic Arch SAX 90°
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    Aortic Valve
    Stenosis

    Cardiac Output Valve Area Back to Top of Page
     

    TEE Slices, in Yue's order:
  • 15°
  • LV (inf septum and lat wall) and RV size / fnct.
  • Atrial size and septal eval.
  • Withdraw probe to see LA appendage.
  • MV (A1, P1), TV: CFD.
  • Diastolic fnct: PW MV (E, A waves).
  • To g (next for Yue)
    To b
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  • 80°
  • MV
  • anterolat & posteromed commisures
  • P1, 2, 3=lateral, middle, medial scallop.
  • MV R to L=P1, A2, P3
  • CFD MV
  • To b (next for Yue)
    To h
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    • 90°
    • LV fnct, inf & ant walls. 
    • LA, LA appendage, and LSPulmV.
    • CFD MV (R to L = A2, P3).
    • CW LSPulmV (A, S, D waves)
    To c (next for Yue)
    To c
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    • 120°
    • Proximal ascending aorta, AV.
    • LV ant septum, post wall.
    • CFD MV, AV.
    • MV R to L = A2, P2
    To h (next for Yue)
    To d
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    • 60°
    • AV, LAA eval.
    • CFD AV (clockwise from upper R: L, R, Noncoronary cusps).
    • L main, R coronary flow.
    To i (next for Yue)
    To i
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    • 130°
    • CFD AV.
    • Caliper LVOT.
    To l (next for Yue)
    To j
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    • 110°
    • Turned probe to R.
    • PFO (CFD), venosus and secundum type defects.
    • SVC, IVC, Eustachian valve remnants.
    To m (next for Yue)
    To m
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    • 80°
    • TV, RV outflow, PV.
    • CFD TV, PV.
    • CW TR: pressure gradient + CVP = PAP.
    To d (next for Yue)
    To n
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    • Wall motion, thickening
    • LV/RV size, wall thickness, and function
    To f (next for Yue)
    To e
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    • MV fnct
    To e (next for Yue)
    To g
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    • 90°
    • CFD MV
    • Ant & inf LV wall
    To j (next for Yue)
    To f
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    • 120°
    • CW AV - VTI.
    To n (next for Yue)
    To k
    To Top of Page
    • 120°
    To k (next for Yue)
    To o
    To Top of Page
    • Left superior pulm vein
    • Aortic Flow: CW AV - VTI.
    To q (next for Yue)
    To l
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    • Eval atheromatous change, dissection, thrombus.
    To r (next for Yue)
    To r
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    • 90°
    • Eval atheromatous change, dissection, thrombus.
    To s (next for Yue)
    To s
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    • Eval atheromatous change, dissection, thrombus.
    To o (next for Yue)
    To t
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    • 20°
    • Eval atheromatous change, dissection, thrombus.
    • Pulmonary A bifurcation. 
    To p (next for Yue)
    To p
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    • 100°
    • Eval atheromatous change, dissection, thrombus.
    To t
    To q
    To Top of Page
    • 90°
    • Eval atheromatous change, dissection, thrombus
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