Perrino: A Practical Approach to Transesophageal Echocardiography 2nd Edition

Transesophageal Echocardiography (TEE) IS the first imaging technique to enter the mainstream of intraoperative patient monitoring. The dramatic display of detailed cardiac anatomy and physiology provided in real time by two-dimensional (2D) and Doppler techniques quickly convinced the most skeptical among us of the remarkable clinical potential TEE offers to optimize patient management. For clinicians accustomed to invasive hemodynamic monitoring, it is something of a challenge to become an accomplished interpreter of TEE images and Doppler techniques. The multiple views and imaging planes require a readjustment of our orientation to cardiac anatomy. And the quantitative assessments of cardiovascular function, particularly those derived from blood flow velocity, also require new insights for the clinician accustomed to pressure measurements. This second edition of A Practical Approach to Transesophageal Echocardiography provides the intraoperative clinician with an updated resource to readily acquire the principles and perspectives underlying the approach used in practice by accomplished intraoperative echocardiographers.
The editors have gathered contributing authors who are internationally renowned and acknowledged for their independent contributions and teaching ability. The authors were given the task of presenting a highly readable and clinically relevant survey of the current practice of perioperative echocardiography. Their enthusiasm, backed with the strong support of the publisher, has produced this book.

Despite the notable comprehensive reference texts and case atlases available on this subject, this book remains the clinicians best resource to acquire the essential skills of TEE practice. The second edition is comprised of up-to-date chapters supported by extensive use of color illustrations and echocardiographic images. The presentation, illustrations, and content create a surprisingly portable text that is conducive to rapid appreciation of the critical elements in the use of TEE for a particular clinical challenge.
The reader is guided through the physics, principles, and applications of 2D imaging and Doppler modalities for assessing ventricular performance and the clinical significance of valvular disease. There is particular emphasis on the use of TEE for valve repair and replacement surgeries. One chapter is dedicated to echocardiographic artifacts and other pitfalls of interpretation that can lead to misdiagnosis, and a complete chapter has been added detailing cardiac masses and sources of emboli. The book concludes with a section on technical issues and echocardiography machine operation. It is our intention that, after an understanding of the imaging modalities has been acquired, the importance and relevance of these somewhat dry but essential concepts will be better appreciated than if they were presented as initial topics. Each chapter concludes with a series of self-assessment test questions to further emphasize important teaching points.
Certainly, the skills required to be an expert echocardiographer cannot be gained from textbooks alone. Extensive clinical training and intraoperative exposure to the application of these techniques remains paramount. In addition, we recommend the excellent educational programs on intraoperative TEE sponsored by the American Society of Echocardiography, the Society for Cardiovascular Anesthesiology, and the American Society of Anesthesiologists.

Contents 

ESSENTIALS OF TWO-DIMENSIONAL IMAGING

• Principles and Technology of Two-Dimensional Echocardiography
  
• Two-Dimensional Examination
  
• Left Ventricular Systolic Performance and Pathology
  
• Diagnosis of Myocardial Ischemia
  

ESSENTIALS OF DOPPLER ECHOCARDIOGRAPHY

• Doppler Technology and Technique
  
• Quantitative Doppler and Hemodynamics
  
• A Practical Approach to the Echocardiographic Evaluation of Ventricular Diastolic Function
  

III. TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN VALVULAR DISEASE AND SURGERY

• Mitral Regurgitation
  
• Mitral Valve Stenosis
  
• Mitral Valve Repair
  
• Aortic Regurgitation
  
• Aortic Stenosis
  
• Prosthetic Valves
  
• Right Ventricle, Right Atrium, Tricuspid Valve, and Pulmonic Valve
  

IV. CLINICAL CHALLENGES

• Transesophageal Echocardiography for Coronary Revascularization
  
• Transesophageal Echocardiography of the Thoracic Aorta
  
• Transesophageal Echocardiography in the Intensive Care Unit
  
• Transesophageal Echocardiography for Congenital Heart Disease in the Adult
  
• Cardiac Masses and Embolic Sources
  

V. MAN AND MACHINE

• Common Artifacts and Pitfalls of Clinical Echocardiography
  
• Techniques and Tricks for Optimizing Transesophageal Images
  

APPENDICES

• Transesophageal Echocardiographic Anatomy
• Cardiac Dimensions
• Hemodyamic Calculations
• Valve Prostheses
• Classification of the Severity of Valvular Disease
• Answers to End-of-Chapter Questions

Index

Book Details

• Paperback: 512 pages
• Publisher: Lippincott Williams & Wilkins; Second edition (November 6, 2007)
• Language: English
• ISBN-10: 0781773296 
• ISBN-13: 978-0781773294 
• Product Dimensions: 9.9 x 6.9 x 0.8 inches

List Price: $115.00