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The heart is anterior to the esophagus, so the transesophageal echo (TEE) probe is facing anteriorly for the majority of the time; however, every once in a while when rotating clockwise/counter-clockwise, I’ll face posterior enough to visualize the spinal column. From a midesophageal region, one can advance and withdraw the TEE probe to see varying spinal cord levels.
Stroke is a relatively rare but debilitating consequence of surgery [1]. Albeit more common after cardiac surgery, patients who have undergone non-cardiac procedures are also at risk of experiencing stroke [2]. With stroke affecting functions such as vision, movement, and cognitive ability, not to mention carrying the risk of death, the importance of understanding the incidence of stroke after surgery and how best one can prevent it is evident [3].
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