Transesophageal echocardiography (TEE) can be used to identify risk factors such as aortic atherosclerosis before any sort of surgical manipulations involving aorta and its related structures. TEE has become an important noninvasive tool to diagnose acute thoracic aortic pathologies. A novel TEE technique, TEE A‑View, overcomes the “blind spot” of TEE. This allows bedside imaging of the distal AA, the aortic arch, and cerebral branch vessels. With this additional TEE information, appropriate modifications of the surgical techniques can be made to reduce morbidity and mortality. TEE evaluation of endoleaks helps early detection and immediate corrective interventions. TEE is an invaluable imaging modality in the management of aortic pathology. TEE has to a large extent improved the patient outcomes.
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