Transoesophageal Echocardiography

  • Magdalena Gurzun
  • Silviu I. Dumitrescu


The multimodality imaging has improved considerable our understanding and possibility to evaluate the right heart cavities and became mandatory for right ventricle evaluation nowadays. However, echocardiography remains the most accessible, fast and cheap modality in every day clinical practice and transesophageal echocardiography became a very useful tool in some clinical scenarios for diagnosis and monitoring purposes as well (peri-operative or peri-intervention, suboptimal transthoracic echocardiography quality).


Transesophageal echocardiography Right ventricle Intraoperative echocaradiography 


  1. 1.
    Ho SY, Nihoyannopoulos P. Anatomy, echocardiography, and normal right ventricular dimensions. Heart. 2006;92(Suppl 1):i2–i13.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Goor DA, Lillehei CW. Congenital malformations of the heart. 1st ed. New York: Grune and Stratton; 1975. p. 1–37.Google Scholar
  3. 3.
    Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685–713.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Cho EJ, Jiamsripong P, Calleja A, et al. Right ventricular free wall circumferential strain reflects graded elevation in acute right ventricular afterload. Am J Physiol Heart Circ Physiol. 2009;96:H413–20.CrossRefGoogle Scholar
  5. 5.
    Plunkett MD, Buckberg GD. Pathophysiologic implications of the helical ventricular myocardial band: considerations for right ventricular restoration. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007;10:68–75.CrossRefGoogle Scholar
  6. 6.
    Hristov N, Liakopoulos OJ, Buckberg GD, Trummer G. Septal structure and function relationships parallel the left ventricular free wall ascending and descending segments of the helical heart. Eur J Cardiothorac Surg. 2006;29:S115–25.CrossRefPubMedGoogle Scholar
  7. 7.
    Foale R, Nihoyannopoulos P, McKenna W, Kleinebenne A, Nadazdin A, Rowland E, Smith G. Echocardiographic measurement of the normal adult right ventricle. Br Heart J. 1986;56(1):33–44.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Greenbaum RA, Ho SY, Gibson DG, Becker AE, Anderson RH. Left ventricular fibre architecture in man. Br Heart J. 1981;45:248–63.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Pierpont GL, DeMaster EG, Cohn JN. Regional differences in adrenergic function within the left ventricle. Am J Physiol Heart Circ Physiol. 1984;246:H824–9.CrossRefGoogle Scholar
  10. 10.
    Kühl HP, Hanrath P. The impact of transesophageal echocardiography on daily clinical practice. Eur J Echocardiogr. 2004;5(6):455–68.CrossRefPubMedGoogle Scholar
  11. 11.
    Haddad F, Couture P, Tousignant C, Denault AY. The right ventricle in cardiac surgery, a perioperative perspective: I. Anatomy, physiology, and assessment. Anesth Analg. 2009;108:407–21.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Kasper J, Bolliger D, Skarvan K, Buser P, Filipovic M, Seeberger MD. Additional cross-sectional transesophageal echocar diography views improve perioperative right heart assessment. Anesthesiology. 2012;117:726–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Flachskampf FA, Wouters PF, Edvardsen T, et al. Recommendations for transoesophageal echocardiography: EACVI update 2014. Eur Heart J Cardiovasc Imaging. 2014;15(4):353–65.CrossRefPubMedGoogle Scholar
  14. 14.
    Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26(9):921–64.CrossRefPubMedGoogle Scholar
  15. 15.
    Vegas A. Perioperative two-dimensional transesophageal echocardiography. Berlin: Springer; 2012.Google Scholar
  16. 16.
    Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16(3):233–70.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Lang RM, Bierig M, Devereux RB, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s guidelines and standards committee and the chamber quantification writing group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18(12):1440–63.CrossRefPubMedGoogle Scholar
  18. 18.
    Karhausen J, Dudaryk R, Phillips-Bute B, et al. Three-dimensional transesophageal echocardiography for perioperative right ventricular assessment. Ann Thorac Surg. 2012;94(2):468–74.CrossRefPubMedGoogle Scholar
  19. 19.
    Fusini L, Tamborini G, Gripari P, et al. Feasibility of intraoperative three-dimensional transesophageal echocardiography in the evaluation of right ventricular volumes and function in patients undergoing cardiac surgery. J Am Soc Echocardiogr. 2011;24:868–76.CrossRefPubMedGoogle Scholar
  20. 20.
    Xu Y, Wu W, Fang W, Chen H. Reproducibility and correlations of right ventricular end-diastolic volume index measured by real-time three-dimensional echocardiography. J Clin Ultrasound. 2014;42(2):81–8.CrossRefPubMedGoogle Scholar
  21. 21.
    Maffessanti F, Muraru D, Esposito R, et al. Age-, body size-, and sex-specific reference values for right ventricular volumes and ejection fraction by three-dimensional echocardiography: a multicenter echocardiographic study in 507 healthy volunteers. Circ Cardiovasc Imaging. 2013;6(5):700–10.CrossRefPubMedGoogle Scholar
  22. 22.
    Imada T, Kamibayashi T, Ota C, et al. Intraoperative right ventricular fractional area change is a good indicator of right ventricular contractility: a retrospective comparison using two- and three-dimensional echocardiography. J Cardiothorac Vasc Anesth. 2015;29(4):831–5.CrossRefPubMedGoogle Scholar
  23. 23.
    Fusini L, Tamgorini G, Fripari P, et al. Feasibility of intraoperative three-dimensional transesophageal echocardiography in the evaluation of right ventricular volumes and function in patients undergoing cardiac surgery. JASE. 2011;24(8):868–77.Google Scholar
  24. 24.
    Ginghina C, Muraru D, Popescu BA. Hipertensiunea pulmonara si functia ventriculului drept. In: Ginghina C, Popescu BA, editors. Ecografia Doppler. Bucuresti: Editura Medicala; 2011.Google Scholar
  25. 25.
    Shah SB, Hariharan U, Bhargava AK. Utility of TEE in anesthesia for non cardiac surgery: a practical review. J Anesth Crit Care Open Access. 2015;3(4):00102.Google Scholar
  26. 26.
    Sreeram G, Mark J. Right ventricle, right atrium, tricuspid valve and pulmonic valve. In: Reeves S, editor. A practical approach to transesophageal echocariography Perrino A. Philadelphia: Lippincott Williams & Wilkins; 2003.Google Scholar
  27. 27.
    Cronin B, Robbins R, Maus T. Pulmonary artery catheter placement using transesophageal echocardiography. J Cardiothorac Vasc Anesth. 2017;31:178–83.CrossRefPubMedGoogle Scholar
  28. 28.
    Allred C, Crandall M, Auseon A. The important but underappreciated transgastric right ventricular inflow view for transesophageal echocardiographic evaluation of cardiac implantable device infections. Echocardiography. 2013;30(1):E1–3.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Magdalena Gurzun
    • 1
    • 2
  • Silviu I. Dumitrescu
    • 1
    • 3
  1. 1.Emergency Central Military HospitalBucharestRomania
  2. 2.EuroecolabCarol Davila University of Medicine and PharmacyBucharestRomania
  3. 3.Department of MedicineTitu Maiorescu UniversityBucharestRomania

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