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Ann Thorac Surg 2000;69:489-490
© 2000 The Society of Thoracic Surgeons
a Department of Anesthesiology, University of Pennsylvania, Dulles 7, 3400 Spruce St, Philadelphia, PA 19104, USA
b Department of Anesthesiology, Washington University School of Medicine, 600 S Euclid Ave, Box 8054, St. Louis, MO 63110, USA
e-mail: hoguec@notes.wustl.edu
Invited commentary
The importance of intraoperative transesophageal echocardiography (TEE) in the modern practice of cardiovascular surgery and anesthesia is well established. The information provided by TEE enables the precise definition of cardiac valve lesions, the ability to detect regional myocardial ischemia and dysfunction, and to diagnose dissection, aneurysm, traumatic disruption, or atherosclerosis of the thoracic aorta [1]. Application of intraoperative TEE has contributed to the increased number and success of valve repair procedures [2], the development of minimally invasive cardiac surgical procedures [3], and improved outcome in emergency operations of the thoracic aorta [4]. Despite the rapidly expanding use of intraoperative TEE, complications from its use have been infrequent. Complications were often attributed to unrecognized diseases of the esophagus or difficulty inserting
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