Key result
Routine intraoperative TEE during isolated CABG incidentally detects a papillary fibroelastoma, altering the surgical plan.
Why the study?
The role of routine intraoperative TEE remains debatable, especially in the setting of isolated CABG.
Case Report (n=1)
Routine intraoperative TEE during isolated CABG can detect unexpected, clinically significant pathology such as papillary fibroelastomas that may be missed by preoperative TTE, altering the surgical plan and potentially preventing future embolic complications.
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May support intraoperative TEE in isolated CABG for incidental tumors; hypothesis-generating and should not yet change practice.
Singh et al. (2024) conducted a case report in Coronary artery disease (n=1). Intraoperative transesophageal echocardiography (TEE) was evaluated on Detection of unanticipated cardiac pathology. Routine intraoperative transesophageal echocardiography during isolated CABG incidentally detected a papillary fibroelastoma, altering the surgical plan to include tumor excision.
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