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




April 2015

April Question: This patent had a procedure early in the day, and came in from home later that evening with light headedness and palpitations. What is the likely diagnosis? (Videos courtesy of Jorg Dziersk and Stefan Lombaard.)


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


Video '2'   (click to enlarge)


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March 2015

March Question: Looking at the 5 clips, can you put the likely clinical scenario together?


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)

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


Video - TEE of the Month
Video '5'   (click to enlarge)


March Answer: The first 2 clips show the short and long axis view with a severe AR and what appears to be a flail left coronary cusp. From the history this was an acute on chronic situation although there was no evidence of endocarditis. The 5th video shows an enlarged and dysfunctional LV; secondary the patient developed functional MR (posteriorly directed) as seen in video 3. Video 4 shows a 3D image of the aortic and mitral valves and it is clear the mitral leaflets do no coat. The patient underwent AVR and mitral ring annuloplasty.



February 2015

February Question: What is indicated in the image? The video clip may offer a clue as to how the image was obtained.


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

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


February Answer: 1=left upper pulmonary vein, 2=Warfarin ridge, 3=left atrial appendage. Judging by the movement of the appendage, the patient is in atrial fibrillation.



January 2015

January Question: This patient presents 8 years following an MVR with increasing SOB and evidence of hemolysis. What is the etiology of the 2 jets, and what are the therapeutic options, if any?


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

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


January Answer: The "A" jet is a posterior paravalvular jet, "B" a washing jet. Because this patient presented carrying an extremely high Perioperative risk, she was offered device closure which was successfully completed with near total resolution of the jet.

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