Proximity of the oesophagus and the thoracic aorta permits high resolution images.Emergency evaluation of clinically unstable patients with acute aortic syndromes is common scenario.Echocardiography particularly TEE is an invaluable tool in the evaluation of Aorta.Its role in acute aortic syndrome is well proved and comparable to other modalities.TEE is used to detect complications of aortic dissection such as pericardial tamponade, aortic regurgitation, and myocardial ischemia.TEE also guide surgical decision making before and after aortic intervention.TEE with epiaortic scanning has become a gold standard for detection of aortic atherosclerosis.Its role in endovascular therapy is also expanding to guide placement of stent and detection of leaks.Different views for preoperative and peri & postoperative patient, detailed anatomy and outcomes with known complications are described in this video.