Considerations of Intraoperative Transesophageal Echocardiography During Adult Cardiac Surgery
Published: June 12, 2025

- Although intraoperative transesophageal echocardiography (TEE) is increasingly important in cardiac surgery for monitoring, decision-making, and improving clinical outcomes, current society guidelines have not been updated with the latest evidence on its benefits.
- Intraoperative TEE use has been shown to improve outcomes and reduce mortality in high-risk cardiac surgery patients, particularly those undergoing coronary artery bypass graft (CABG), valve, and aortic surgeries.
- Intraoperative TEE use is cost-effective while reducing long-term complications after cardiac surgery and lowering health care costs.
Recommended Reading
- 2021 Guideline for Coronary Artery Revascularization
- 2011 Guideline for Coronary Artery Bypass Graft Surgery
- 2020 Guideline for the Management of Patients With Valvular Heart Disease
- 2022 Guideline for the Diagnosis and Management of Aortic Disease
- 2018 Guideline for the Management of Adults with Congenital Heart Disease
- Considerations for Reduction of Risk of Perioperative Stroke in Adult Patients Undergoing Cardiac and Thoracic Aortic Operations
- Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork