Fig. 3.
Example of instructional material presented to the simulation group using the Heartworks TEE Simulator (with permission from Inventive Medical LTD, London, United Kingdom). The simulation instruction covered basic transesophageal echocardiography (TEE) probe manipulation and hands-on image acquisition of the 20 standard American Society of Echocardiography TEE views. This included a demonstration of the imaging planes and anatomical correlates on the three-dimensional heart model built into the software. (A) A two-dimensional TEE still image of the midesophageal four-chamber view demonstrating probe position in relation to the three-dimensional heart model and the corresponding multiplane angle. (B) A two-dimensional TEE still image of the transgastric mid short-axis view demonstrating probe position in relation to the three-dimensional heart model and the corresponding multiplane angle.