Just a Routine CABG

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TEEIntraOpME2CV2D
Short case presentation
68 yo female with a history of SOB, CP and diaphoresis. The cardiac catheterization shows a LVEF of 30-40%, a 99% LAD, a 70% RCA and a 70% Cx lesion. The patient was anethetized and the TEE loops are shown below.

What new finding is present? What is your recommendation to the surgeon?
Please review the impact of intraoperative TEE on the incidence of new findings and the incidence of altering the surgical plan.