Toronto Perioperative Echo Symposium 2024 Virtual | September 21-22, 2024


Demographic shifts & technical developments in therapeutic interventions and imaging are contributing to a significant expansion of the use of POCUS and TEE. In this two-day virtual symposium, our international multi-disciplinary faculty will illustrate the application of POCUS & TEE to address critical decisions in patient management across a wide range of acute care settings.

Upon completion of this program, participants should be able to

  • Describe the expanding scope of perioperative echo, including the range of modalities and new areas of application
  • Illustrate the application of TEE and POCUS to address critical point-of-care decisions in a variety of acute-care situations & settings
  • Review recent updates on the current guidelines related to the application of perioperative echocardiography in different clinical settings
  • Critically discuss factors limiting translation of echocardiography into improved patient outcomes, and outline strategies for addressing these challenges

Day 1 : Saturday, September 21

Session 1: Adult Congenital Heart Disease

Curator: Dr. Yuji Hirasaki, Utsunomiya, Japan

  • Perioperative TEE for adult congenital heart disease – Dr. Kentaro Fukano and Dr. Yuji Hirasaki
  • Blood flow analysis in patients with congenital heart disease and its significance for decision making process – Dr. Koichi Akiyama
  • New insights into the intraventricular pressure gradient and its significance for future adulthood surgical interventions – Dr. Ken Takahashi
  • Four-dimensional imaging for assessing hemodynamics in complex congenital heart surgery – Dr. Keiichi Itatani


Session 2: Vegetations and Masses

Curators: Drs. Marcin Wasowicz and Marcus Salvatori, Toronto

  • Cardiac masses from the surgeon’s perspective – Dr. RJ Cusimano
  • TEE evaluation of cardiac tumours – Dr. Annette Vegas
  • TEE evaluation of endocarditis – Dr. Wendy Tsang
  • TEE for endocarditis in the ACHD population – Dr. Rafa Alonso


Session 3: Aortic Disease

Curators: Drs. Victor Neira and Neville Burke, Halifax

  • TEE examination of the thoracic aorta, the introduction of aortopathies, and other image modalities – Dr. Victor Neira
  • Bicuspid aortic valve, aortic root, and ascending aorta aneurysms – Dr. Braden Dulong
  • Acute aortic syndromes: Type A Hematomas, dissections, rupture – Dr. Neville Burke
  • Pathologies of the descending aorta: coarctation, aneurysms, dissections – Dr. Pieter De-Jager


Day 2: Sunday, September 22

Session 1: Right Heart Function

Curator: Dr. Massimiliano Meineri, Leipzig, Germany

  • RV-Arterial Coupling – Dr. F Guarracino
  • RV Function assessment: how can we build RV Echo-loops? – Dr. E Mauermann
  • Quantifying RV function: Is  Strain the Answer? – Dr. J Labus
  • “RV Function in ARDS and Respiratory failure – Dr. S Treschkatch
  • “Can we predict RV failure: echocardiographic assessment of RV reserve before LVAD implantation – Dr. S Bouchez


Session 2: Solid Organ Transplantation

Curators: Drs. Jen Prete and Yiliam Rodriguez

  • TEE for heart transplant – Drs. Jen Prete and Yiliam Rodriguez
  • TEE for lung transplant – Drs. Jen Prete and Yiliam Rodriguez
  • TEE for liver transplant – Dr. Cosmin Guta
  • Select cases in liver transplantation – Dr. Raffael Zamper


Session 3: State of the Art

Curator: Dr. Elmari Neethling, Kelowna, British Columbia

  • How to implement advanced TEE technologies in your practice – Prof Burkhard Mackensen
  • Image misinterpretation – Dr. Victor Lui
  • Top Echo Articles of 2023 – Dr. Tonia Tau

Jakob Labus MD

Cardiovascular Anesthesiologist, Department of Anesthesiology and Intensive Care Medicine, University Hospital and Medical Faculty, Cologne University Dr. Labus completed his medical training at the University of Cologne and University of Zurich and completed his residency training in Anesthesiology and Intensive Care Medicine at University Hospital of Düsseldorf in 2015. He is a member of the German Society of Anesthesiology and Intensive Care Medicine (DGAI), the German Cardiac Anesthesia Scientific Working Group, the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Subspeciality Committee for Echocardiography and the American Society of Echocardiography (ASE).

Marcus Salvatori MD MSc FRCPC

Staff Cardiovascular Anesthesiologist & Critical Care Physician, Department of Anesthesia & Pain Management, Toronto General Hospital, University Health Network. Assistant Professor, Dept of Anesthesiology & Pain Medicine, University of Toronto. Dr. Salvatori obtained a Master of Science, University of Toronto, Department of Physiology (2005) and his Bachelor of Medicine and Surgery (with Merit) from Newcastle University School of Medicine, Newcastle upon Tyne, UK (2013). Dr. Salvatori completed his anesthesia residency at the University of Toronto and obtained his Fellowship, Royal College of Physicians of Canada (FRCPC) in Anesthesiology (2019). He completed a fellowship in cardiovascular anesthesia and critical care medicine at the Toronto General Hospital, University Health Network. His clinical areas of focus are cardiovascular anesthesia, echocardiography and critical care medicine.

Raffael Zamper MD PhD

Staff Anesthesiologist, Cardiac Anesthesia Program Director and Cardiac Anesthesia Fellowship Coordinator, Faculty of Medicine. Assistant Professor, Western University, London ON. Dr. Zamper, graduated from Medicine University of Sao Paulo, Brazil and completed his anesthesiology residency at the General Hospital of The University of Sao Paulo. He completed his PhD on coagulation in cirrhotic patients undergoing liver transplantation at the Albert Einstein Jewish Hospital, Sao Paulo. He subsequently completed clinical fellowships in cardiac anesthesia and perioperative echocardiography and ultrasound at the London Health Science Center, Western University where he currently works as staff anesthesiologist and director of the cardiac anesthesia fellowship program.

Massimilano Meineri MD PhD FASE

Co-Chair Department of Anesthesia, Herzzentrum Leipzig, Leipzig, Germany. Professor of Anesthesiology, University of Toronto. Dr. Meineri completed Fellowship training in Cardiac Anesthesia from Toronto General Hospital, where he went on to become the director of perioperative echocardiography and founding director of the Lynn and Arnold Irwin Advanced Perioperative Imaging Lab. His academic focus is perioperative echocardiography. He is Diplomate in advanced Perioperative transesophageal echocardiography. He’s involved in development of on line echocardiography teaching resources for the Perioperative Interactive Education website ( He has organized and lead numerous point of care ultrasound courses around the world. His main research interest is 3D intraoperative echocardiography.

Wendy Tsang MD FASE

Staff Cardiologist and Clinician Investigator, Toronto General Hospital, University Health Network. Associate Professor, Department of Medicine, University of Toronto. Dr. Tsang is the head of the Complex Valve clinic at Toronto General Hospital. She completed her medical degree at Queen’s University and went on to complete her Adult Cardiology fellowship at the University of Toronto. She then completed a CIHR-funded Multimodality Cardiac Imaging research fellowship at the University of Chicago. During that time, she also obtained a Master’s degree in Health Studies. She was a member of the writing groups for both the 2012 ASE/EACVI 3D Guidelines and the 2015 ASE/EACVI Chamber Quantification Guidelines. She also serves on the Editorial Board of the Journal of the American Society of Echocardiography and is a member of the Royal College of Physician and Surgeon’s Area of Focused Competency subcommittee in Adult Echocardiography. She currently holds a Heart and Stroke Foundation of Canada National New Investigator Award. Her research focuses on congenital and valvular heart disease, 3D echocardiography, and artificial intelligence.

Marcin Wasowicz MD PhD

Staff Cardiovascular Anesthesiologist & Critical Care Physician, Department of Anesthesia & Pain Management, Toronto General Hospital. Associate Professor of Anesthesiology, University of Toronto.


Staff Cardiologist, Toronto General Hospital, University Health Network. Dr. Omran completed his fellowship in echocardiography at Toronto General Hospital in 1996 and subsequently collaborated with Tirone David in developing intraopertive imaging techniques to support the development of novel techniquest for aortic and mitral valve repair. He is the author of landmark papers on TEE assessment of mitral valve anatomy and suitability for mitral valve repair and created the first map of TEE classification of the mitral valve segments and scallops which is still in use in many centers. Dr. Omran has published more than 35 papers in role of TEE in valves repair and contributed chapters in 5 textbooks of echocardiography including chapter of role of 3D TEE in cardiac operating room in the “Nanda’s Comprehensive Textbook of Echocardiography”. He is certified by National Board of Echocardiography and European Association of Cardiovascular Imaging (EACVI) and is an active member of American and European societies of echocardiography. He is currently working as staff cardiologist supporting the perioperative echocardiography program at Toronto General Hospital. He is a highly regarded teacher in echocardiography and runs the quality assurance program for intraoperative TEE at Toronto General Hospital.

Annette Vegas MD FASE

Staff Cardiovascular Anesthesiologist & Critical Care Physician, Department of Anesthesia & Pain Management, Toronto General Hospital. Professor of Anesthesiology, University of Toronto. Prof. Vegas graduated from medical school at McGill University (Montreal) and completed an anesthesia residency at the University of Toronto. She concluded a cardiac anesthesia fellowship at Toronto General Hospital, where she has practiced since 1994. She has an interest in echocardiography and has developed web-based educational materials ( for teaching both transesophageal and transthoracic echocardiography. Annette has extensively published journal articles and book chapters, authored textbooks and co-edited textbooks related to echocardiography. She is a professor of anaesthesiology and an elected fellow of the American Society of Echocardiography (FASE). In 2020 Dr. Annette Vegas reassumed the role of director of Perioperative TEE at Toronto General Hospital.

Competing Interests Policy

Faculty will declare all relevant relationships and potential competing interests during their presentation.

Faculty COI statements will be posted here when available.

Should a conflict of interest be identified a variety of strategies will be employed for mitigation, as recommended by the Royal College of Physicians and Surgeons of Canada ( ). These include revision of the presentation topic or focus; peer review of the content in question to ensure scientific integrity and balance. If the concern raised is not addressed by these methods, an alternate speaker for the topic will be sought out, or the topic removed from the program.

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