1. Planes of the Heart Ao RV RA PA LV LA 4 Chamber Plane Long Axis Plane Short Axis Plane 1

2. TEE Views Transverse Plane Longitudinal Plan 0 degrees 0-180 degrees Midesophageal Transgastric Deep Gastric Aortic Valve Level Great Vessels Level Aortic View Arch - Abdominal Aorta Inferior Vena Cava/Hepatic Vein 3 1 2 4 5 6 7 2

3. TEE Views Longitudinal Plan EsophagusTransducer Transverse Planes RA LA LV SVC RV Ao 3

4. TEE Views Mid Inferior Mid Posterior Mid Lateral Mid Anterior Mid Septal Mid Ant-Septal 0 Degrees, Transgastric 2 Chamber Plane 4 Chamber Plane LVLAX Plane 4

5. Great Vessels View 0 Degrees MPA Ao SVC LA RPA LPA RV MPA Ao RPA LPA Ao RA LA RV 30-60 Degrees 90-110 Degrees 110-120 Degrees SVC RPA 5

6. Great Vessels View (Retroflexed) 0 Degrees 45 Degrees 90 Degrees 30 Degrees 0 Degrees LLPV RUPV LV LA PA SVC RA RLPV Ao LA PA LLPV RUPV RLPV RV LA SVC Ao RUPV RLPV Ao LA RA SVC LUPV LAA LV LA PA 6

7. Aortic Valve View (Mercedes) RV LA RA AV 40-60 Degrees La RA RV LAA A RV RA PA LA 60 Degrees 90 Degrees RA LA RV RA LA SVC IVC 110 Degrees RV Ao 110 Degrees LA Ao LV LA 135 Degrees 0 Degrees PV 7

8. Midesophageal TEE Views Midesophageal Long Axis 130-150 degrees LV Ao RV LV LA RV RA Midesophageal RV 4 Chamber 0 degrees Atrial 4 Chamber 0 degrees Midesophageal 4 Chamber 30-60 degrees Midesophageal Mitral Commissure 75 degrees 2 Chamber LAA View 90 degrees Midesophageal 2 Chamber View LAA View 90 degrees RA LA LAA LV RV 8

9. Midesophageal View (Flexed) RA LA SVC IVC 110 Degrees RA LA Ao 90 Degrees LA RA Ao IVC 30 Degrees LA 0 Degrees 9

10. Transgastric View Transgastric LV 2 Chamber Transgastric LVSAX LV LA Ao 120 Degrees LV LA 90 Degrees LV RV 45 Drgees LVRV 0 Derees 10

11. Transgastric View (Flexed) TV LV SVC Ao RV RA PA 120 Degrees Ao RV 90 Degrees 30 Degrees 0 Degrees 11

12. LV Segments - Apical View = Basal Segments= Mid Segments= Apical Segments 1 = Basal AS 2 = Basal AW 3 = Basal LW 4 = Basal PW 5 = Basal IW 6 = Basal SW 7 = Mid AS 8 = Mid AW 9 = Mid LW 10 = Mid PW 11 = Mid IW 12 = Mid SW 13 = Apical AW 14 = Apical LW 15 = Apical IW 16 = Apical SW 1 2 12 3 45 6 7 8 9 1011 13 14 15 AW ASW LW PW SWIW16 RCA LAD Cx 12

13. LV Segments (ASE) Basal Segments 1 = Basal Anteroseptal 2 = Basal Anterior 3 = Basal Lateral 4 = Basal Posterior 5 = Basal Inferior 6 = Basal Septal Mid Segments 7 = Mid Anteroseptal 8 = Mid Anterior 9 = Mid Lateral 10=Mid Posterior 11=Mid Inferior 12=Mid Septal Apical Segments 13=Apical Anterior 14=Apical Lateral 15=Apical Inferior 16=Apical Septal 4 Chamber View 2 Chamber View Long Axis ViewShort Axis View 8 7 8 11 9 1210 1 2 3 4 6 6 7 11 13 12 15 10 15 13 1514 9 RCA LAD RCA LAD Cx RCA LAD Cx 13