Use of multi-imaging modalities in detection of false passage of TEE probe

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Intraoperative transesophageal echocardiography (TEE) is an invaluable tool for the management of cardiac surgical procedures. It allows evaluation of myocardial function, valvular pathology, atheromatous disease, dissection of the aorta, and estimation of pulmonary artery pressure. Despite its relative safety, TEE has a reported estimated risk of 0.18%. Esophageal injury is the major risk associated with TEE placement. This is a case report of a patient who sustained a contained esophageal dissection during insertion of a TEE probe prior to minimally invasive mitral valve repair. It is also a demonstration of use of the multi-imaging modalities used to evaluate and manage patients until full recovery.