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Review Open Access

Transesophageal echocardiography during lung transplantation (Review)

  • Authors:
    • Jie Xiao
    • Zhili Xu
    • Ge Luo
    • Yuanyuan Yao
    • Xinchen Tao
    • Ruiyu Wang
    • Qi Gao
    • Jingcheng Zou
    • Yantian Lv
    • Min Yan
  • View Affiliations / Copyright

    Affiliations: School of Anesthesiology, Shandong Second Medical University, Weifang, Shandong 261000, P.R. China, Department of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China
    Copyright: © Xiao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 165
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    Published online on: June 26, 2025
       https://doi.org/10.3892/etm.2025.12915
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Abstract

Lung transplantation (LTx) continues to be the primary curative intervention for end‑stage lung disease, with post‑transplant outcomes demonstrating substantial improvements in recent years. The present review summarizes recent advancements in the application of transesophageal echocardiography (TEE) during LTx as a diagnostic strategy for associated complications. TEE offers notable benefits for intraoperative monitoring during LTx, including the assessment of cardiac function, vascular anastomosis evaluation, support for cannula positioning and the management of extracorporeal membrane oxygenation. Comprehensive TEE knowledge is essential for anesthesiologists to optimize pharmacological interventions and enable early detection of intraoperative complications. This technique enhances clinical decision‑making, thereby supporting the efficacy and safety of anesthesia management.
View Figures

Figure 1

A 2D transesophageal echocardiography
image obtained by the authors from a 14-year-old male patient
undergoing lung transplantation for obliterative bronchiolitis. The
image demonstrates an enlarged RV alongside a relatively compressed
LV, with the D-shaped deformation of the LV serving as a hallmark
of RV pressure overload. The D-shaped LV is marked by the red
arrow. RV, right ventricle; LV, left ventricle.

Figure 2

Transesophageal echocardiography
image obtained by the authors from a 59-year-old female patient
undergoing lung transplantation for interstitial lung disease. The
image of a right ventricular inflow and outflow tract view, showing
a floating thrombus near the pulmonary valve in the right
ventricular outflow tract, marked by the red arrow.
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Copy and paste a formatted citation
Spandidos Publications style
Xiao J, Xu Z, Luo G, Yao Y, Tao X, Wang R, Gao Q, Zou J, Lv Y, Yan M, Yan M, et al: Transesophageal echocardiography during lung transplantation (Review). Exp Ther Med 30: 165, 2025.
APA
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R. ... Yan, M. (2025). Transesophageal echocardiography during lung transplantation (Review). Experimental and Therapeutic Medicine, 30, 165. https://doi.org/10.3892/etm.2025.12915
MLA
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R., Gao, Q., Zou, J., Lv, Y., Yan, M."Transesophageal echocardiography during lung transplantation (Review)". Experimental and Therapeutic Medicine 30.2 (2025): 165.
Chicago
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R., Gao, Q., Zou, J., Lv, Y., Yan, M."Transesophageal echocardiography during lung transplantation (Review)". Experimental and Therapeutic Medicine 30, no. 2 (2025): 165. https://doi.org/10.3892/etm.2025.12915
Copy and paste a formatted citation
x
Spandidos Publications style
Xiao J, Xu Z, Luo G, Yao Y, Tao X, Wang R, Gao Q, Zou J, Lv Y, Yan M, Yan M, et al: Transesophageal echocardiography during lung transplantation (Review). Exp Ther Med 30: 165, 2025.
APA
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R. ... Yan, M. (2025). Transesophageal echocardiography during lung transplantation (Review). Experimental and Therapeutic Medicine, 30, 165. https://doi.org/10.3892/etm.2025.12915
MLA
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R., Gao, Q., Zou, J., Lv, Y., Yan, M."Transesophageal echocardiography during lung transplantation (Review)". Experimental and Therapeutic Medicine 30.2 (2025): 165.
Chicago
Xiao, J., Xu, Z., Luo, G., Yao, Y., Tao, X., Wang, R., Gao, Q., Zou, J., Lv, Y., Yan, M."Transesophageal echocardiography during lung transplantation (Review)". Experimental and Therapeutic Medicine 30, no. 2 (2025): 165. https://doi.org/10.3892/etm.2025.12915
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