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Quick Guide To TTE
Quick Guide To TTE
Quick guide
Introduction to transthoracic echo
Anne-Sophie Beraud, cardiologist
Clinique Pasteur, Toulouse, France
Toni Burkett
Philips Healthcare – Ultrasound
The basics
The transducer
• The optimal transducer for transthoracic
echo is a low-frequency phased array.
orientation
marker
RV LV
RA
LA
Align Rotation
Place the transducer so the ultrasound Clockwise or counterclockwise rotation
beam is aligned with the anatomy of the transducer is required to change
views and to optimize the image.
Tilt
Tilt the transducer to identify and Tilt may be up/down or side-to-side
optimize the anatomy of interest. depending on the ultrasound view.
Using gain
Using depth
Parasternal long-axis
3
Parasternal long-axis view
RV
IVS
AV AO
LV
MV
LA
Pericardium
5
PSS: Aortic valve level
RVOT
Pulmonic
Tricuspid valve
valve Aortic
valve PA
RA
LA
RV
IVS
LV
Mitral valve
Pericardium
RV
IVS
Anterior wall
LV
Inferior
wall Papillary
muscles
Pericardium
RV LV
TV
MV
RA
LA
2
Apical 5-chamber
LV
RV
AV
RA LA
Subcostal four-chamber
• Patient is supine.
RV
TV
LV
RA
MV
LA
IVC RA