TEE Time: The Perioperative TEE Video Podcast (Anesthesia, Cardiology, Echocardiography, Sonography, Critical Care ICU)

22. TEE for the Non-Cardiac Anesthesiologist: A Collaborative Episode with Dr. Jed Wolpaw (ACCRAC)

Dr. Andreas Plackis hosts a collaborative episode of TEE Time with Dr. Jed Wolpaw on ACCRAC about “TEE for the Non-Cardiac Anesthesiologist,” released June 27, 2026 as ACCRAC episode 337 (TEE Time Episode 22). Plackis describes developing TEE Time from a fellowship project at Vanderbilt to create concise, high-yield perioperative TEE resources. Discussion also revolves around TEE’s value in high-risk non-cardiac surgery and emergencies (severe hypotension, hypoxemia, cardiac arrest), growing use by ED physicians (resuscitative TEE) and intensivists, and why TEE can outperform TTE perioperatively (faster, better views, hands-free monitoring, no CPR interruption, procedural guidance for mechanical support). They discuss  rescue TEE goals, indications/contraindications, a PCARR framework, key initial views, completing a full exam, practical setup tips, and learning approach for beginners.
 
ACCRAC Podcast Link: https://accrac.com/episode-337-tee-for-the-non-cardiac-anesthesiologist-with-andreas-plackis/
 
00:00 Podcast Crossover Intro
01:19 Meet the Guest
02:07 Origin of TEE Time
04:41 Why TEE for Noncardiac
06:48 TEE Versus TTE
08:56 Rescue TEE Basics
10:28 Perioperative Considerations
11:51 Indications and Contraindications
13:30 PCARR Shock Framework
17:05 Rescue Protocol and Views
23:36 ECMO Screening Findings
24:14 Pro Tips for Tomorrow
25:58 Beginner Guide to Learn
29:08 Wrap Up and Recommendations
31:12 Final Thanks and Outro
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #RescueTEE #TransesophagealEchocardiography #CVICU #ICU #ASE360
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

21. How to Evaluate Aortic Regurgitation using TEE - Part 2 of 2 - TEE for Aortic Valve Surgery

In TEE Time Episode 21, we discuss properly evaluating aortic regurgitation (AR) using TEE and how findings affect perioperative care for aortic valve repair/replacement. Building on part one, the video reviews the TEE view sequence (ME AV SAX/LAX, ME ascending aorta LAX, deep TG 5-chamber or TG LAX, ME descending aorta LAX) and the six valve-evaluation categories: clinical information, 2D echo, Doppler, quantitative parameters, 3D echo, and other echo data, remembered with the “C2-DQ-3DO” mnemonic. It covers hemodynamic effects (BP/HR), leaflet anatomy/quality/function, coaptation length, annulus/LVOT/aortic measurements and surgical thresholds, bicuspid valve classification and implications, Doppler criteria (vena contracta, jet width, pressure half-time, flow reversal), limitations of PISA/stroke-volume methods, 3D vena contracta area for EROA, and assessment of MV/LV/aorta and associated bicuspid findings, emphasizing mechanism, location, and severity using ASE 2017 guidance.
 
00:00 AR TEE Overview
01:13 Six Pillars Framework
02:05 Valve Robot Mnemonic
03:06 Clinical Context First
03:59 2D Valve Anatomy
06:32 Annulus And Aorta Measures
09:31 Bicuspid Valve Classification
11:19 Color Doppler Clues
13:32 Spectral Doppler Metrics
15:15 Flow Reversal In Aorta
17:00 Quant Methods Limits
17:47 3D Vena Contracta Area
19:02 Other Cardiac Data
21:26 Key Takeaways Wrap Up
22:29 Next Episode And Thanks
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #RescueTEE #TransesophagealEchocardiography #CVICU #ICU #ASE360
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

20. How to Evaluate Aortic Regurgitation using TEE - Part 1 of 2 - TEE for Aortic Valve Surgery

In Episode 20 of TEE Time, we launch the aortic valve series with Part 1 of 2 on evaluating chronic aortic regurgitation (AR) using transesophageal echocardiography (TEE), covering definitions, causes, pathophysiology, assessment goals, intervention indications, and a practical TEE view/sequence. AR (aortic insufficiency) causes inadequate forward output, LV volume/pressure overload, and potential dysfunction; acute AR (e.g., dissection, endocarditis, trauma) can rapidly raise LVEDP and cause pulmonary edema and reduced output, while chronic AR leads to eccentric hypertrophy and increased stroke volume. Mechanisms are organized by El Khoury Types I–III (normal, excessive, restricted cusp motion) with examples including STJ dilation/aneurysm, cusp perforation, prolapse/flail, rheumatic disease, and calcification. We review the 2020 AHA/ACC and selected 2025 European AVR/TAVI considerations and detail the five key TEE views for AR, including measurement tips, Doppler parameters, and holodiastolic flow reversal assessment.
 
00:00 Aortic Regurgitation Intro
00:50 Episode Roadmap
01:34 AR Basics and Impact
02:04 Primary vs Secondary Causes
03:42 Acute vs Chronic AR
05:13 Hemodynamic Management Tips
06:19 TEE Goals and Severity
07:16 Elkhoury Mechanism Classes
09:08 When to Replace the Valve
12:13 TEE Views and Exam Sequence
16:58 Key Takeaways and Next Episode
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

19. How to Evaluate Left Atrial Appendage Thrombus With TEE

In Episode 19 of TEE Time, Dr. Andreas Plackis explains how to evaluate the left atrial appendage (LAA) for thrombus using transesophageal echocardiography (TEE) and why it matters for stroke prevention, anticoagulation decisions, and intraoperative planning. He reviews key risk factors (atrial fibrillation, low-flow states, mitral stenosis), outlines when dedicated LAA imaging is essential, and presents a systematic TEE approach including multiplane views, Doppler velocity assessment, contrast use, and differentiation of spontaneous echo contrast, sludge, and true thrombus. When thrombus is discovered intraoperatively, management depends on surgical access and clinical context, with strategies focused on clot removal when feasible or anticoagulation and minimizing embolic risk when access is limited.
 
00:00 How to Rule Out LAA Thrombus on TEE (Episode 19 Intro)
00:48 Why LAA Clots Matter: Stroke Risk & Anticoagulation Implications
01:12 Risk Factors & When to Look: AFib, Low Flow States, Procedures
02:44 TEE Accuracy, Limitations, and the Differential for an LA/LAA Mass
03:50 Step-by-Step TEE Exam: Views, Color, Doppler Velocities, and 3D
05:16 Normal vs Thrombus Examples: What It Looks Like on TEE
06:30 Tips & Tricks: Contrast, Color Scale, Multi-Angle Sweeps, Image Optimization
08:31 SEC vs Sludge vs Thrombus: How to Tell Them Apart
09:56 Intraoperative Management: Surgical Options and Risk Tradeoffs
11:41 Wrap-Up, Next Episode Preview, and Subscribe
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

18. TEE and Medical Malpractice for Physicians, Attorneys, and Patients

Episode 18 of TEE Time explores the medicolegal aspects of Transesophageal Echocardiography (TEE) for physicians, attorneys, and patients. The discussion covers benefits, risks, contraindications, and the legal standards of care, including informed consent and malpractice considerations. Case statistics from anesthesiology and cardiology highlight common litigation drivers such as misdiagnosis and technical errors. The episode concludes with best practices to minimize risk, offering essential insights for both clinicians and legal professionals.
 
00:00 Introduction to TEE and Medical Malpractice
01:43 Understanding Transesophageal Echocardiography (TEE)
03:35 Informed Consent for TEE Procedures
06:12 Medical Malpractice overview and TEE
10:30 Reducing Risks
12:49: When TEE leads to litigation
14:37 Conclusion and Key Takeaways
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

17. Rescue TEE: Cardiac Arrest and Clinical Tips - Part 3 of 3

In Episode 17 of TEE Time, we explore the transformative role of Rescue Transesophageal Echocardiography (TEE) in cardiac arrest. As the final part of our three-part series, this episode covers clinical applications, outcomes, logistics, and limitations of Rescue TEE. We highlight the advantages of TEE over TTE, arrhythmia delineation, CPR optimization, and detection of ROSC. Practical tips, workflow integration, hospital implementation, training and credentialing needs, and non-cardiac OR uses are discussed. Future directions include AI-assisted interpretation, pre-hospital use, and certification pathways.
 
Receive your free TEE Time Rescue TEE protocol document:
1) Leave a Review (Apple/Spotify) or Like (Youtube).
2) Comment with an included Email,
3) We will send you the Protocol!
 
00:00 Introduction to Rescue TEE in Cardiac Arrest Management
01:26 Recap of Previous Episodes and Protocol Overview
02:49 Cardiac Arrest Management with Rescue TEE
03:45 Advantages and Limitations of TEE
09:07 Clinical Tips for Using Rescue TEE
11:07 Influence of Rescue TEE on Clinical Care
13:01 Training and Credentialing for Rescue TEE
14:40 Implementation Tips for Rescue TEE in Hospitals
17:59 Limitations and Future Directions of Rescue TEE
19:53 Conclusion and Next Episode Preview
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

16. Rescue TEE: Diagnoses and Shock States - Part 2 of 3

In Episode 16 of TEE Time, we focus on part two of the three part Rescue TEE series. This episode focuses on the clinical application of Rescue TEE for diagnosing and managing various shock states, including RV failure, cardiac tamponade, acute PE, and hypovolemia. Key concepts such as calculating cardiac output via echocardiography and differentiating various diagnoses are covered in detail. Specific diagnostic approaches and echocardiographic views for each condition are discussed, offering practical insights and protocols for emergency clinical settings. The episode serves as an in-depth guide to utilizing Rescue TEE effectively to improve patient care in critical situations.
 
Receive your free TEE Time Rescue TEE protocol document:
1) Leave a Review (Apple/Spotify) or Like (Youtube).
2) Comment with an included Email,
3) We will send you the Protocol!
 
00:00 Introduction to Rescue TEE: Part Two
00:48 Overview of Rescue TEE Protocol
03:01 Calculating Cardiac Output with Echocardiography
04:26 Diagnosing Hypovolemia
07:46 Identifying IVC Compression
09:08 Understanding Cardiac Tamponade
11:40 Evaluating RV Failure
14:23 Detecting Pulmonary Embolism
15:54 Recognizing Tension Pneumothorax
18:37 Assessing Valve Pathology
20:53 Exploring LV Dysfunction
24:17 Investigating Afterload Issues
30:02 Differentiating Shock States
32:21 Conclusion and Next Steps
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

15. Rescue TEE: The TEE Time Rescue TEE Protocol - Part 1 of 3

In Episode 15 of TEE Time, the focus is on Rescue TEE—a problem-focused, emergent, and high-yield TEE exam used to diagnose and guide interventions in patients experiencing hypotension, hypoxemia, or cardiac arrest. This first part of a three-part series introduces the concept, key terms, and imaging protocols of Rescue TEE, alongside its perioperative considerations, indications, and contraindications. The episode highlights the detailed steps of performing a Rescue TEE exam and its crucial role in improving patient care in high-risk hospital settings. Receive your free TEE Time Rescue TEE protocol document: 1) Leave a Review (Apple/Spotify) or Like (Youtube). 2) Comment with an included Email, 3) We will send you the Protocol! 00:00 Introduction to Rescue TEE 00:46 Overview of Rescue TEE 02:10 Definition and Importance of Rescue TEE 03:49 Clinical Applications and Settings 06:21 Contraindications and Considerations 07:39 Rescue TEE vs TTE 09:01 Performing a Rescue TEE Exam 09:34 Understanding Shock Physiology 11:05 Detailed Rescue TEE Protocol 12:13 Step-by-Step Rescue TEE Evaluation 20:22 Finalizing the Rescue TEE Exam 22:46 Conclusion and Next Steps #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

14. The BEST Way to Learn TEE and Pass the Basic or Advanced PTEeXAM

In Episode 14 of TEE Time, Dr. Andreas Plackis provides an in-depth guide to mastering perioperative Transesophageal Echocardiography (TEE) and passing both the Basic and Advanced PTEeXAMs. This episode introduces a four-stage learning blueprint—beginner, intermediate, expertise, and mastery—designed to streamline the TEE learning process for various medical professionals. Key tools and resources are recommended at each stage, including websites, simulators, guidelines, textbooks, and more. Dr. Plackis emphasizes the importance of hands-on practice, mentorship, and case volume to build expertise, and offers strategies to progress from understanding basic cardiac anatomy in TEE views to influencing clinical care with advanced diagnostic skills. The episode also provides guidance on utilizing additional resources like podcasts, social media, and conferences, applicable for any stage of learning. Finally, detailed preparation tips for passing the Basic and Advanced PTEeXAMs are discussed.
 
00:00 Introduction to TEE Time and Episode Overview
01:07 The Importance of Efficient TEE Learning
01:56 The TEE Time Blueprint: Four Stages of Learning
04:27 Stage 1: The Beginner Stage
07:11 Stage 2: The Intermediate Stage
08:54 Stage 3: The Expertise Stage
10:23 Stage 4: The Mastery Stage
12:36 Tools for Any Stage of TEE Learning
15:36 Preparing for the Basic and Advanced PTEeXAMs
18:14 Conclusion and Next Episode Preview
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
 
ASE GUIDELINES TO READ:
•2025 LV Diastolic Function and HFpEF Diagnosis
•2025 Echocardiographic Assessment of the Right Heart
•2024 Imaging Patients With LVADs and Temporary MCS
•2024 Evaluation of Prosthetic Valve Function
•2023 Structural Heart Disease Interventions
•2023 Evaluation of Rheumatic Heart Disease
•2022 TEE Screening for Structural Heart Intervention
•2020 Cardiac POCUS and Critical Care Echocardiography
•2020 Surgical Decision-Making in the Operating Room
•2019 Regurgitation after Valve Repair or Replacement
•2017 Noninvasive Evaluation of Native Valvular Regurgitation
•2017 Aortic Valve Stenosis
•2016 Evaluation of a Cardiac Source of Embolism
•2015 Management of Patients with LVADs
•2015 Atrial Septal Defect and Patent Foramen Ovale
•2015 Diseases of the Thoracic Aorta in Adults
•2015 Cardiac Chamber Quantification
•2013 Pericardial Disease
•2013 Performing a Comprehensive TEE Exam
•2013 Basic Perioperative TEE Exam
•2012 Image Acquisition and Display Using 3D Echo
•2011 Transcatheter Intervention for Valvular Heart Disease
•2010 Focused Cardiac Ultrasound in Emergent Setting
•2009 Echocardiographic Assessment of Valve Stenosis
•2009 Echocardiography-Guided Interventions
•2007 Comprehensive Intraoperative Echocardiography Exam
•2007 Comprehensive Epicardial Echocardiography Examination
•2006 Quality Improvement in Perioperative Echocardiography

13. TEE for Mitral Valve Repair (MVr) Surgery

In Episode 13 of TEE Time, Dr. Andreas Plackis explores the critical role of transesophageal echocardiography (TEE) in guiding mitral valve repair surgery. This episode offers a deep dive into key decision points such as repair versus replacement, comprehensive pre- and post-bypass TEE assessments, and the echocardiographic markers that influence surgical strategy. Dr. Plackis breaks down the benefits of repair, factors that predict success or failure, and the technical steps for a thorough TEE evaluation. Listeners will also gain insight into surgical goals, common repair techniques, strategies to prevent systolic anterior motion (SAM), and how to assess repair effectiveness after bypass. Whether you’re in training or refining your expertise, this episode delivers essential, high-yield knowledge to optimize outcomes in mitral valve surgery.
 
00:00 Introduction to Mitral Valve Repair
01:23 Advantages of Mitral Valve Repair
01:55 Factors Influencing Repair vs. Replacement
04:37 Pre Bypass TEE Assessment
13:28 Intraoperative Mitral Valve Repair Strategies
25:25 Post Bypass TEE Assessment
30:37 Conclusion and Key Takeaways
31:15 Next Episode Preview and Closing Remarks
 
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography
 
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.