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This lesson teaches how to assess the left atrial appendage on transesophageal echocardiography. The best views are obtained at the mid esophageal level with an imaging plane angle around 90 degrees. The anatomy of the left atrial appendage varies, so the optimal transducer angle may vary as well. Starting with an angle of approximately 90-110 degrees is recommended for a good initial search. This angle will provide a clear view of the left atrium, mitral valve, and left atrial appendage.