Key result
Intraoperative TEE serves as the primary imaging modality to guide complex aortic dissection repairs.
Why the study?
Intraoperative transesophageal echocardiography is essential for guiding surgical repair of acute aortic dissections, but imaging protocols for complex hybrid repairs are not well defined.
Intraoperative transesophageal echocardiography (TEE) serves as a vital tool for real-time imaging and assessment to guide hybrid surgical interventions in acute aortic dissection repairs.
Supports intraoperative TEE in acute aortic dissection repair; hypothesis-generating and requires prospective validation before practice change.
Transesophageal echocardiography (TEE) is a vital diagnostic tool in the management of patients undergoing surgical repair of acute aortic dissections. Cardiac computed tomography (CCT) is generally the first choice for diagnostic imaging of aortic dissections given its ubiquity, acquisition speed, and high sensitivity and specificity.1 Intraoperatively, however, TEE is the imaging modality of choice due to its portability and imaging resolution, but most importantly due to its ability to provide accurate real-time imaging and assessment to guide surgical interventions.
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Huang et al. (2026) studied Acute aortic dissection. Intraoperative Transesophageal Echocardiography (TEE) vs. Cardiac computed tomography (CCT) (contextual) was evaluated. Intraoperative transesophageal echocardiography is highlighted as the imaging modality of choice to guide surgical interventions in complex aortic dissection repairs due to its real-time capabilities.
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