Educational material will be presented in the form of lectures, case presentations, and informal discussions that together will provide a comprehensive review of how perioperative TEE can be used in patients undergoing valve repair and replacement to guide surgical decision-making preoperatively, and postoperatively in patients presenting with complications. In addition, the role of TEE in facilitating interventional guidance and clinical decision-making for patients requiring valvular assessment of the Aortic, Pulmonic or Triscuspid valves or undergoing TAVR, Watchman/LAA Occlusion. and ASD Closure.