Dimitroglou Yannis, Karanasos Antonios, Katsaros Andreas, Kalompatsou Argyro, Tsigkas Grigorios, Toutouzas Konstantinos, Tsioufis Costantinos, Aggeli Constantina, Davlouros Periklis
1st Department of Cardiology, University of Athens, Hippokration Hospital, 11527 Athens, Greece.
School of Medicine, Patras University Hospital, 26504 Patras, Greece.
J Cardiovasc Dev Dis. 2025 Mar 4;12(3):93. doi: 10.3390/jcdd12030093.
Transesophageal echocardiography (TEE) is a valuable tool for diagnosing structural heart diseases, offering superior resolution compared to transthoracic echocardiography. It allows for real-time evaluation of cardiac valves and both systolic and diastolic heart function. Additionally, TEE facilitates the prompt detection of potential complications during cardiac surgeries, such as paravalvular leaks, iatrogenic aortic dissections, and pericardial effusions. Advances in imaging, including 3D echocardiography, have further enhanced the visualization of complex structures like cardiac valves, providing "surgical views" that improve preoperative planning. These features have also made TEE indispensable for postoperative evaluation of cardiac valve repairs and for intraoperative guidance during minimally invasive procedures. This review article aims to summarize the indications for using TEE as an intraoperative tool in cardiac surgery.
经食管超声心动图（TEE）是诊断心脏结构疾病的重要工具，与经胸超声心动图相比具有更高的分辨率。它能够实时评估心脏瓣膜以及心脏的收缩和舒张功能。此外，TEE有助于在心脏手术期间迅速检测潜在并发症，如瓣周漏、医源性主动脉夹层和心包积液。包括三维超声心动图在内的成像技术进步，进一步增强了对心脏瓣膜等复杂结构的可视化，提供了有助于改善术前规划的“手术视野”。这些特性也使TEE在心脏瓣膜修复术后评估以及微创手术术中引导方面不可或缺。本文综述旨在总结将TEE用作心脏手术术中工具的适应证。
