Case 2
The next case is a 60 year old man with a history of
chest pain and dyspnea on exertion known to have
MV prolapse and MR.
A pre operative TTE showed MV prolapse with 3+ to
4+ MR.  Cardiac cathiterization showed normal
coronary arteries.
She had no history of esophageal disease,
dysphagia, or hematemesis.
He came to surgery for MV repair.  After induction of
anesthesia and endotracheal intubation, a TEE probe
was place into the esophagus without difficulty and a
comprehensive examination performed.