During the last few decades, the utility of intraoperative echocardiography has become increasingly evident as anesthesiologists, cardiologists, and surgeons continue to appreciate its potential application as an invaluable tool for monitoring cardiac performance and diagnosing pathology in patients undergoing cardiac surgery. 1,2 The essential information provided by intraoperative echocardiography regarding hemodynamic management, cardiac valve function, congenital heart lesions, and great vessel pathology has contributed to its widespread popularity. In fact, perioperative echocardiography has been shown to influence cardiac anesthetic and surgical management in as many as 50 % of cases. 3 The publication of guidelines describing the indications for performing intraoperative echocardiography based on reviews of the literature and expert opinion of task force members from the Society of Cardiovascular Anesthesiologists (SCA), America
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