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


Now available:

coming later in 2016

(click image to enlarge)

Book purchase allows the individual to utilize the Inkling platform on tablets and smart-phones to view full text and videos.




April 2018

April question: This patient presented to the cath lab for an intervention; based on what is seen in the first three images (pre intervention) and the second two (post intervention) what was done and what was the complication? (Images courtesy of Carly Peterson MD, Coleen McFaul MD, Dane Ingebrigtson MD)

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

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


Video 1 - TEE of the Month
Video'2'   (click to enlarge)

Video 1 - TEE of the Month
Video'3'   (click to enlarge)


Video 1 - TEE of the Month
Video'4'   (click to enlarge)


Submit Your Answer Here



February 2018

February question: The patient is a 29 y.o. female with a history of post partum cardiomyopathy. An LVAD was placed 1 yr. ago. She now presents for heart transplant. The donor ischemic time was short, and the aortic Xclamp was removed prior to SVC anastomosis with 1hr of reperfusion of the transplanted heart. After weaning from bypass on max pharmacological support, the TEE is shown. She was paced on VA ECMO. What is the problem, and what should be done?

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


February answer: The segmental wall motion abnormality indicates a left main coronary artery issue. The patient was taken to the cath lab where intense spasm of the LMCA was seen; intra-arterial NTG resolved the issue.


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


 


January 2018

January question: This patient was hypotensive following lung transplant for cystic fibrosis. In the first video, a trasgastic view of the RVOT and proximal PA is shown. In video 2, a midesophageal view of the RVOT is seen. What is going on?

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

Video 1 - TEE of the Month
Video'2'   (click to enlarge)


January answer: Cystic fibrosis has led to RVH; with the decrease in PVR afforded by 2 new healthy lungs, dynamic RVOT obstruction develops. Treatment included volume transfusion, and the decrease delivery of inotropic drugs.