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The third edition of the Clinical Manual and Review of Transesophageal Echocardiography is intended to be an indispensable resource and the standard reference manual in the field of transesophageal echocardiography (TEE). Completely updated, reorganized, and expanded, this edition has been redesigned to offer anesthesiologists, cardiologists, cardiothoracic surgeons, emergency room physicians, intensivists, and sonographers a concise yet comprehensive coverage of the key principles, concepts, and current practices in TEE.

Since the publication of the first edition in 2005, and the second edition in 2010, the field has witnessed continuous growth at a rapid pace. Preparing the third edition was a complex undertaking, as we attempted to balance content, format, style, integration, and innovation, while recognizing the need to stay in the zone between excessively complex and over simplified.

This edition features a sectional format, each containing chapters that were reviewed and updated to provide a comprehensive discussion of the physiology, pathophysiology, and echocardiographic approach for normal and common disease states. Whenever possible, important clinical information has been aligned with the principles of cardiovascular physiology, and echocardiographic techniques. In addition, narrative text, charts, and graphs have been effectively integrated to provide rapid access to key clinical information for the purpose of improving clinical management. With a dedicated section highlighting the practice exam along the numerous multiple-choice questions after almost every chapter, in addition to the online instructional videos provided to our readers, this edition will serve as an excellent source of current clinical information on TEE for trainees and more experienced anesthesiologists preparing for board examinations in both basic and advanced perioperative echocardiography.

In addition to several distinguished new authors, we welcome Dr. Alina Nicoara as a coeditor. We have been privileged to collaborate with an outstanding group of colleagues that are prominent experts in their fields. We are grateful and acknowledge their hard work, dedication, selfless commitment and valued contributions in this collective responsibility. It is their excellence, attention to detail, passion for echocardiography, and vast knowledge and experience that allowed this project to proceed smoothly. We are also thankful to the many readers of the first and second editions who offered words of encouragement and even advice on how the book could be improved—many of those suggestions have been incorporated into the current edition. Despite the changes, however, we hope that we have retained the elements that made the first two editions successful.

Finally, we once again recognize and are indebted to our mentors—those who instilled in us the passion for echocardiography. We gratefully acknowledge the contributions of Drs. Dinesh Kurian, Martin Sigurdsson, and Nathan Waldron in reviewing all of the questions and answers in the book. 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 the staff at McGraw-Hill including Brian Belval, Andrew Moyer, Jason Malley and Christie Naglieri for their continued support with this project.

Joseph P. Mathew

Alina Nicoara

Chakib M. Ayoub

Madhav Swaminathan

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