Coronary artery bypass surgery epiaortic ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]


Since atherosclerotic disease of the aorta is a common finding in patients who undergo CABG surgery, usage of epiaortic ultrasonography is recommended for identifying aortic atherosclerosis. This imaging has been recognized as the gold standard for identifying aortic atherosclerosis due to its superiority to either surgical digital palpation or transesophageal echocardiography.

Use of Epiaortic Ultrasound in Patients Undergoing CABG

2021 ACA Revascularization Guideline

Class 2a Recommendation, Level of Evidence: B-NR[13][14][15][16][17][18][19][20][21][22][23]
The routine use of epiaortic ultrasound scanning is found to be helpful in identifying the presence, location, and severity of plaque in the ascending aorta to minimize the incidence of atheroembolic complications among patients who are undergoing CABG.


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