By Martin G. St. John Sutton, Alan R. Maniet, Jerry Blaivas, David A. McGowan, David Gordon, Stuart Stanton
Clinically appropriate emphasis the following offers the reader with an authoritative evaluation of what thoughts can be found and what pictures should be acquired. The multiplane probe, paediatric and 3D probes, and colour stream Doppler are integrated.
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Additional resources for An Atlas of Multiplane Transesophageal Echocardiography
Further clockwise rotation at the aortic arch enables the distal portion of the ascending aorta to be visualized. This is sometimes referred to as the blindspot area of the aorta, since it is the area where the right bronchus courses between the esophagus and the aorta, limiting the field of view especially with monoplane and biplane transducers. This blindspot of the aorta is virtually eliminated by multiplane technology with experienced operators. Normal Doppler examination Color Doppler can be recorded in all the standard views.
Steering the transducer to 100° gives images of the ascending aorta in long axis. With clockwise rotation, the right atrium is visualized, with the atrial septum and superior vena cava and inferior vena cava cut in longitudinal section. Returning the probe to neutral and anteflexing the transducer tip, the main and right pulmonary arteries are imaged longitudinally with short axis views of the aorta and superior vena cava. 28). The scope is withdrawn slowly, with images obtained at 0° short axis planes and 90° long axis cuts.
Voller H, Schorder KM, Gast D, et al. Does the incidence of positive blood cultures during transesophageal echocardiography necessitate antibiotic prophylaxis (abstr). Circulation 1990;82(suppl 3):III–244. 66. Nikutta P, Mantey-Stiers F, Becht I, et al. Risk of bacteremia induced by transesophageal echocardiography: analysis of 100 consecutive procedures. J Am Soc Echocardiogr 1992;5:168–72. 67. Gorge G, Erbel R, Henricks KJ, et al. Positive blood cultures during transesophageal echocardiography.