Left ventricular hypertrophy​

Intraoperative TEE transgastric LV short-axis image at end-diastole (thick arrow) for measuring inferolateral wall thickness in a patient with severe concentric left ventricular hypertrophy. According to guidelines for two dimensional imaging, measurement of the inferolateral wall should be taken between the epicardial/endocardial boundary and the endocardial/trabecular boundary for maximal accuracy of true myocardial thickness and estimation of left ventricular mass. In this patient, the diastolic inferolateral LV wall thickness was 2.1 cm, signifying severe hypertrophy.