TEE / 3D Flashcards

1
Q

P1 scallop position

A

Anterolateral near LAA

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2
Q

P2 scallop position

A

Middle

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3
Q

P3 scallop position

A

Medial

Adjacent to atrial sept`um

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4
Q

Mitral scallops mid-esoph 0’ 4 chamber

A

A2-P2

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5
Q

MV scallops above mid-esoph (see AV)

A

A1-P1

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6
Q

MV scallops mid-esoph, push probe down

A

A3-P3

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7
Q

MV scallops commissural view (mid-E 30-90)

A

P1-A2-P3

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8
Q

MV scallops long axis (135’)

A

A1-P1

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9
Q

Eustachian Valve

A

Membrane like structure near IVC or SVC

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10
Q

Chiari Network

A

Remnant of right hear valve of sinus venosus

Highly mobile mass in RA

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11
Q

Crista terminalis

A

Pillar that separates smooth from trabeculated part of right atrium

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12
Q

3DE Artifacts

A

Drop out
Blooming
Railroad
Reverberation

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13
Q

3D quality determined by

A

2D quality
Avoiding motion
EKG and respiratory gating

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14
Q

Fully sampled matrix array transducers # of piezoelectric elements

A

3000

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15
Q

Multibeat acquisition improves

A

Temporal resolution

Volume rate

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16
Q

Increasing volume rate

A

Multibeat acqusition
Decreasing imaging depth
Decreasing sector width
Using zoom

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17
Q

3D vs 2D for LV volumes

A

3D better accuracy and reproducibility

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18
Q

3D improve estimation of volumes

A

Increased depth
Narrow sector sizes
Multibeat acquisition

19
Q

Lowest variability method for LA size

A

3D echo

20
Q

Method for RV volumes with 3D

A

Method of discs

21
Q

Limitations of 3D doppler

A

Low temporal and spatial resolution

22
Q

Best method for MV stenosis after balloon

A

3D planimetry

23
Q

Standard surgeon’s view of MV

A

AV at 11-12:00
LAA at 9:00
Posterior valve centered at 6:00
Interatrial septum between 2 and 3:00

24
Q

TEE sensitivity for aortic dissection

A

> 95%

25
Q

Midesophageal view most anterior AV cusp

A

Right

26
Q

Midesophageal view non-coronary cusp

A

Adjacent to interatrial septum

27
Q

TEE view for A-P guidance for transeptal puncture

A

Short axis at level of aortic valve

28
Q

Longest radial length tricuspid leaflet

A

Anterior

29
Q

Shortest radial length tricuspid leaflet

A

Septal

30
Q

TEE view for AV gradients

A

Deep trans gastric view at 0 degrees with anteflexion

31
Q

Ddx for AV endocarditis

A

Lambl’s excrescences
Thickened arantius nodules
Fibroelastomas

32
Q

Lambl’s excrescence

A

Filamentous structures attached to ventricular side of AV

33
Q

Arantius nodules

A

Present at center of free margin of each of the AV cusps

34
Q

Fibroelastomas

A

Benign tumors attached to aortic side of AV

35
Q

Methemoglobinemia characteristics

A

Cyanosis
Low oxygen sat
Normal arterial PO2

36
Q

Treatment for methemoglobinemia

A

IV methylene blue

37
Q

Absolute contraindications to TEE

A

Esophageal or pharyngeal obstruction
Esophageal diverticulum
Active GI bleeding
Perforated viscus

38
Q

Relative contraindications to TEE

A

Esophageal varices
History of radiation to the neck
Barrett esophagus
Coagulopathy

39
Q

Flail mitral valve leaflet

A

Ruptured chord visualized

Tip of leaflet points superiorly into left atrium in systole

40
Q

Fibroelastoma characteristics

A

Round or oval, irregular, well demarcated borders
Most <20mm
Half have mobile stalks, are mobile

41
Q

Myxoma

A

Most common benign tumor
Attached by stalk to interatrial septum
Surgery indicated

42
Q

MV ring dehiscence TEE

A

Suspect when portion of ring floating in middle of mitral annular orifice
Associated MR

43
Q

Causes of dilated coronary sinus

A

RA hypertension due to right sided failure, TR, pHTN
Persistent left SVC draining into CS
Anomalous PV drainage into CS

44
Q

Confirmation of left SVC to CS

A

Bubbles injected into left arm appear in CS prior to RA