Anesthesiology & Pain Medicine >> Education >> TEE of the Month

Transesophageal Echocardiogram of the Month

TEE pictures furnished by Dr. Donald Oxorn, UW Anesthesiologist

You might also like to visit the Canadian Society of Echocardiography-Cardiomath Echo Calculator

For those with smartphones or iPads I recommend the following apps as excellent reference guides. The first is from the University of Toronto (same folks who brought you the Virtual TEE website) and the next 3 are from the American Society of Echocardiography


TEE Standard Views on Apple iPad App icon

iTunes Preview

Echo AUC App icon

American Society of Echocardiography
Echo AUC

iTunes Preview

ASA Pocket Guidelines App icon

American Society of Echocardiography
ASE Pocket Guidelines

iTunes Preview

iASE App icon

American Society of Echocardiography
iASE

iTunes Preview


Coming later in 2016:

coming later in 2016

(click image to enlarge)




July 2016

July question: This patient was brought to the OR for LVAD placement, for severe LV dysfunction. (Video 1). One of the initial TEE images is seen in the 2nd video. What should you "advise" the surgeon to do?


Video 1 - TEE of the Month
Video'1'   (click to enlarge)

Video 2 - TEE of the Month
Video'2'   (click to enlarge)




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June 2016

June question: Given the patient╩╝s function as seen in the first video, an intervention was performed which was initially beneficial but then ceased to be. What is the diagnosis and what is going wrong?

Image - TEE of the Month
Image'1'   (click to enlarge)


Video 1 - TEE of the Month
Video'1'   (click to enlarge)

Video 2 - TEE of the Month
Video'2'   (click to enlarge)


Video 3 - TEE of the Month
Video'3'   (click to enlarge)


June answer: This patient had severe LV dysfunction, and had an Impella┬ę LV assist device placed. As the device had decreased function, a TEE was performed, and it was noted that no portion of the device could be seen on the aortic side of the aortic valve. Device fracture was suspected. He was taken to the cath lab (Figure) and in the left hand panel, the arrow indicates one broken end of the device, whereas in the right hand panel, the remaining portion is seen. As it turned out, manipulation of the device in the ICU had been attempted, which probably was the inciting event. The ventricular portion of the device was successfully snared by the interventional cardiologist.


Image - TEE of the Month
June Answer Image   (click to enlarge)