To the Editor: Cokis and Faris describe an intraoperative complication detected by transoesophageal echocardiography (TOE).1 Their letter is interesting in that it describes a rare complication during aortic valve surgery, and it is provocative in that it is critical of the Department of Health and Ageing decision not to rebate TOE (except in valve repair or replacement) to anaesthetists.
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