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Since the publication of the first edition of the Clinical Manual and Review of Transesophageal Echocardiography in 2005, the field has continued to grow at a rapid pace. In order to maintain its place as a standard reference manual, this edition has been completely reorganized and expanded to offer concise yet comprehensive coverage of the key principles, concepts, and developing practices of transesophageal echocardiography (TEE). This second edition was written with pride and gratitude by numerous contributing authors and is offered to anesthesiologists, cardiologists, cardiothoracic surgeons, emergency room physicians, intensivists, and sonographers. Each chapter has been thoroughly revised and updated to provide a summary of the physiology, pathophysiology, tomographic views, and the required twodimensional, M-mode, color-flow, and Doppler echocardiography data for both normal and common disease states. New chapters on ultrasound artifacts, quantitative echocardiography, tricuspid and pulmonic valves, right heart function, heart failure surgery, epicardial and epiaortic ultrasonography, TEE in nonoperative settings, three-dimensional echocardiography, and the board certification process have also been added. Whenever possible, important clinical information has been integrated with the principles of cardiovascular physiology. In addition, narrative and bulleted text, charts, and graphs were effectively blended in order to speed access to key clinical information for the purpose of improving clinical management. Finally, an increased number of chapter-ending standardized review questions along with a new companion CD, which includes a practice test, offer readers an opportunity to test their knowledge and to prepare for the certification exams.

In this edition we welcome our new co-editor, Dr. Madhav Swaminathan, and several new authors. We gratefully acknowledge the contributions of all our authors, who are prominent experts in their fields, and we are thankful for their hard work, dedication, and selfless commitment to this second edition. It is their excellence, attention to detail, passion for echocardiography, and vast knowledge that allowed this project to proceed smoothly. We are also thankful to the many readers of the first edition who offered words of encouragement and even advice on how the book could be improved—many of those suggestions have been incorporated into this edition. Despite the changes, however, we hope that we have retained the elements that made the first edition so useful to the novice echocardiographer. Finally, we once again recognize and are indebted to those who instilled in us the passion for echocardiography and for discovery: Drs. Paul Barash, Fiona Clements, Ed Prokop, and Terry Rafferty, as well as Elizabeth Davis, LPN, RDCS.

Our sincere appreciation also goes to our assistants, Melinda Macalino, Jaime Cooke, and Rabih Mukalled, for their dedication, enthusiasm, and patience. In addition, we would like to thank Marsha Gelber, Regina Brown, Brian Belval, and the staff at McGraw-Hill for their continued support with this project.

Joseph P. Mathew
Madhav Swaminathan
Chakib M. Ayoub

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