By Albert C. Perrino Jr. MD, Scott T. Reeves MD MBA FACC
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Extra info for A practical approach to transesophageal echocardiography
This view often appears similar to the ME aortic valve long axis; however, the ventricular inflow and outflow tracts are seen as well as a majority of the ventricular cavity. indd 35 14/06/13 11:36 AM 36 I. 17 Midesophageal long-axis view. The mitral valve and the left ventricular outflow tract can be evaluated in this view. 10 is possible in this view (Fig. 10). Transgastric Basal Short-axis View From the ME long axis, the probe is rotated back to 0 degrees, advanced and anteflexed, and then withdrawn to obtain the TG basal short-axis view of the left ventricle.
A. ME RV inflow–outflow b. TG RV inflow c. ME four-chamber d. When standard orientation and terminology is used, at 180 degrees, the image seen on the right side of the display is: a. On the patient’s left b. Caudad 10. Diagnostic uses of the TG basal short-axis view include: a. Assessment of mitral valve pathology b. Assessment of papillary muscle function c. Assessment of apical LV regional wall motion d. Assessment of mid LV regional wall motion 11. When measuring thickness of the anterior wall of the left ventricle, which view will give you the best resolution?
9 cm (1). Measurements of LV wall thickness are made using the TG mid-SAX view. Usually both septal wall thickness at end diastole (SWTd) and posterior wall thickness at end diastole (PWTd) are reported. Septal wall thickness is measured from the right septal surface to the left septal surface, whereas posterior wall thickness is measured from epicardial surface to endocardial surface (being careful not to include pericardial tissue), using leading edge methodology for M-mode (2) and trailing edge to leading edge for 2D (1).
A practical approach to transesophageal echocardiography by Albert C. Perrino Jr. MD, Scott T. Reeves MD MBA FACC