TEE is useful to image the heart and aorta,27 and is most commonly used in an emergency department when aortic trauma or dissection is suspected. In both of these conditions, TEE performed by trained physicians has a sensitivity of over 95 percent and specificity over 95 percent. 16282 3 ^l3.2 and 33 will also evaluate cardiac function and may disclose unexpected injury.28 TEE requires extensive training and is usually performed by a cardiologist.
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