The Scottsdale Echocardiography Simulation Training Laboratory is a private learning experience for physicians and sonographers who wish to advance their level of knowledge through use of the Heartworks TEE/TTE simulator and the Philips iE33 2D/3D ultrasound machine. Instruction is performed by a dedicated physician echocardiographer who is board certified in both TEE and TTE. The laboratory is located in the desert resort city of Scottsdale Arizona. For more details and scheduling please visit our website at www.echosim.com.
We are viewing from the left atrial side so the aortic valve is on the right screen. The anterior leaflet is always the leaflet closest to the aortic valve. Also, remember this is TEE and not TTE. Hope this helps.
Thank you so much for uploading this video. This is by far the most succint and clear demonstration of not only understanding which scallops that are visualized but how to understand the angulation. It helps me understand rather than just memorize.
If you watch the video at 10:11 you can see that the aortic valve is on the right screen. The anterior MV leaflet will always be found proximate to the aortic valve. Remember this view is from the prospective of the probe sitting in the esophagus.
Hi, thanks for posting it. This is my understanding from the video. 1- from 0-degrees four chambers view, the angle plane is changed to 45-90 degrees to find the LAA. 2- from 0-degrees four chambers view ante-flex the probe to get 0-degrees view. 3- from 0-degrees four chambers view, withdraw the probe and ante-flex the probe to obtain 0-degrees view. Please correct me, if I have missed something.
For number 3, simply pulling out may work. However, note that when you only pull out you may loose contact with the LA and subsequently loose in the image. Remember, anteflexion always serves to increase LA contact and thereby improves the image.