Clinical Manual and Review of Transesophageal Echocardiography

Written by anesthesiologists and cardiologists, the 19 contributions in this
manual describe applications of transesophageal echocardiography (TEE) beyond
bypass surgery, including its use in the assessment of ventricular systolic
function and diastolic function; for evaluating valvular stenosis, valvular
regurgitation, congenital heart disease, cardiac masses, pericardial diseases,
cardiomyopathies, diseases of the aorta, prosthetic valvular function, and
cardiovascular disease in pregnant patients; and as a monitoring modality in
heart transplant surgery and during mitral valve repair. Each chapter
summarizes the physiology, pathophysiology, tomographic views, and required two-
dimensional, M-mode, and Doppler echocardiography data for a number of common
disease states. Introductory chapters cover the physics of imaging, ultrasound
system controls, tomographic views, and the practice of TEE, while the final
chapter discusses new applications in intraoperative echocardiography. Each
chapter includes example images and a section of self-assessment questions for
which answers are provided. Many of the contributors are affiliated with Duke
University Medical Center.







1. Physics of two dimensional and Doppler imaging
2. Transesophageal tomographic views
3. TEE in the operating room
4. Ventricular systolic function
5. Ventricular diastolic function
6. Valvular stenosis
7. Valvular regurgitation
8. Prosthetic Valvular Function
9. Pericardial Disease
10. Cardiomyopathies
11. Diseases of the Aorta
12. Cardiac masses
13. Congenital heart disease in the adult
a. Valvular abnormalities
b. Left Ventricular Outflow Tract and Aorta
c. Septal Defects and Shunts
d. Coronary Fistulas
e. Anomalies of Systemic and Pulmonary Venous Return
f. Complex Congenital Heart Disease
g. Common Surgical Procedures
h. Review Questions
14. Transplantation Surgery
a. Heart
b. Lung
c. Liver
d. Review Questions
15. Clinical problems
a. Positioning of Intracardiac and Intravascular Catheters/devices
(Heart PortԬ Transmyocardial Laser Revascularization (TMR))
b. Integration with other Monitoring Modalities
c. Myocardial Ischemia
d. Intracardiac Air
e. Hypotension
f. Hypoxemia
16. New applications
a. Contrast Echocardiography
b. Tissue Doppler
c. 3-Dimensional Echocardiography
d. Intracardiac Echocardiography
17. Appendix
a. Normal and abnormal chamber and vessel dimensions
b. Normal and abnormal Doppler flow values
c. Prosthetic valve velocities and gradients