“…More recently, the technique has been used to identify the right common carotid, right subclavian, left internal mammary, bronchial, and the extracranial segments of both vertebral arteries. In addition, using the transpharyngeal approach, the proximal portions of both the right and left external and internal carotids have also been studied 1–14 . However, there is scant information in the literature regarding the TEE identification of other branches of the aorta, like the posterior intercostal arteries (PICA) 15 .…”