The value of transesophageal echocardiography (TEE) in cardiac surgery is well proven. TEE is evolving as a perioperative monitoring and diagnostic tool in noncardiac surgery as well, especially for the treatment of high-risk cardio-vascular patients. Its significance lies in that it is the only direct method for imaging and eva-luating heart function. Calculation of ventricular volumes and ejection fraction of the left ventricle (LV), evaluation of contractility, as-sessment of valvular anatomy and function, and inspection of extracardiac structures are feasible through TEE[2-5]. This is of particular import-ance in haemodynamically compromised pa-tients, when an efficient, relatively safe and fast approach is required.