From the Research
The transesophageal echocardiogram (TEE) from March 30,2025 shows a completely normal heart structure and function. The left ventricle has normal size, wall thickness, and excellent systolic function with an ejection fraction of 69%. Diastolic function is normal with an E/e' ratio of 5.0584, indicating normal filling pressures, as supported by studies such as 1 which compared transesophageal echocardiography (TEE) to transthoracic echocardiography (TTE) for assessment of left ventricular diastolic function. The right ventricle is normal in size with normal function. Both atria are normal in size, and saline contrast testing confirmed no atrial septal defect (ASD) or patent foramen ovale (PFO). All four heart valves (mitral, tricuspid, aortic, and pulmonic) have normal structure and function without regurgitation or stenosis. The aortic valve is noted to be tricuspid (normal). The aorta has a normal sized sinus of Valsalva. The inferior vena cava (IVC) is normal in size with appropriate respiratory variation, suggesting a normal right atrial pressure of approximately 3 mmHg. The pericardium is normal without any effusion. This is an entirely normal cardiac study with no abnormalities identified, indicating excellent heart health with normal structure and function of all chambers, valves, and the pericardium, consistent with findings from studies like 2 which highlighted the diagnostic yield of TEE in patients with certain conditions.
Some key points from the TEE include:
- Normal left ventricular size and function
- Normal right ventricular size and function
- Normal atrial sizes
- No ASD or PFO
- Normal valve structure and function
- Normal aortic and pericardial evaluation
- Normal right atrial pressure as suggested by IVC dynamics, which is crucial for assessing right heart function as discussed in studies such as 3 and 4.
Overall, the TEE results indicate a healthy heart with no evidence of structural or functional abnormalities, which is in line with the diagnostic capabilities of TEE as outlined in studies like 5.