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Updated: Aug 25, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transesophageal echocardiography: a complementary view of the heart
Eustachio Agricola1, Michele Oppizzi, Giulio Melisurgo
1Division of Non Invasive Cardiology, San Raffaele Hospital, Milano, Italy. agricola.eustachio@hrs.it
Insights
Transesophageal echocardiography (TEE) is a vital diagnostic tool for detecting cardiac abnormalities missed by transthoracic methods. This review examines TEE's current role in diagnosis, prognosis, and guiding cardiac interventions.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Transesophageal echocardiography (TEE) has become indispensable over the last 20 years.
- It excels at visualizing cardiac structures obscured by transthoracic echocardiography (TTE).
Purpose of the Study:
- To review the current diagnostic, prognostic, and therapeutic applications of TEE.
- To evaluate TEE's impact on clinical decision-making.
- To examine TEE's utility as a monitoring tool during cardiac interventions.
Main Methods:
- Literature review of transesophageal echocardiography applications.
- Analysis of TEE's role in diagnosing cardiac diseases.
- Assessment of TEE's function in interventional cardiology.
Main Results:
- TEE is a cornerstone in diagnosing various cardiac conditions.
- It significantly influences clinical decisions and patient management.
- TEE serves as a crucial monitoring adjunct in numerous cardiac procedures.
Conclusions:
- Transesophageal echocardiography is a key modality in modern cardiology.
- Its diagnostic and interventional applications continue to expand.
- TEE provides critical information for patient care and procedural success.
Abstract:
Transesophageal echocardiography has been widely used as a diagnostic tool during the past two decades to detect cardiac abnormalities that are not visible or poorly visible with transthoracic echocardiography. At present, transesophageal echocardiography is a cornerstone of modern diagnosis of several cardiac diseases, providing diagnostic, prognostic and therapeutic information. In this review, the present status of transesophageal echocardiography not only as a diagnostic tool, underlining its effects on clinical decision making, but also as a monitoring adjunct for many interventional cardiac procedures is examined.
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