RT Book, Section A1 Hudson, Christopher A1 Coddens, Jose A1 Swaminathan, Madhav A2 Mathew, Joseph P. A2 Swaminathan, Madhav A2 Ayoub, Chakib M. SR Print(0) ID 6918931 T1 Chapter 16. Echocardiography for Aortic Surgery T2 Clinical Manual and Review of Transesophageal Echocardiography, 2e YR 2010 FD 2010 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-163476-2 LK accessanesthesiology.mhmedical.com/content.aspx?aid=6918931 RD 2024/03/28 AB Diseases involving the aorta can present a challenge to both surgeons and anesthesiologists. Aortic dissection and rupture are life threatening, require rapid and accurate diagnosis, and need definitive medical and/or surgical management due to their high risk of morbidity and mortality.1,2 A key ingredient in the efficient management of these patients is imaging of the thoracic aorta. Transesophageal echocardiography (TEE) has become an essential noninvasive diagnostic modality for acute thoracic aortic pathologies, and is a standard part of the echocardiographer's armamentarium in the operating room.3–6 It is important for the echocardiographer to quickly and accurately verify the diagnosis, distinguish true pathology from the many common confounding artifacts, and clearly communicate precise echocardiographic findings of the aorta and related cardiac anatomy to the surgeon in order to guide intervention. The following text reviews aortic anatomy and pathology and associated echocardiographic features that assist with imaging during aortic surgery.