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Transesophageal Echocardiography - A New Window to the Heart (Paperback, Softcover reprint of the original 1st ed. 1989)
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Transesophageal Echocardiography - A New Window to the Heart (Paperback, Softcover reprint of the original 1st ed. 1989)
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Echocardiography has been one of the most significant advances in
cardiology in the past two decades. It can provide anatomic,
functional hemodynamic, and blood flow information. Conventional
transtho- racic echocardiography has limitations, particularly in
certain patients such as those with obesity, chronic lung disease,
or chest wall defor- mity, or in those where a transthoracic
approach is difficult for reasons including trauma, life support
apparat uses, and surgical dressings. There are also certain
disease states or conditions in which transtho- racic
echocardiography expectedly gives incomplete or inadequate in-
formation. Transesophageal echo cardiography has opened a unique
"new window to the heart." The immediate proximity of the esophagus
and the posterior heart permits exceptionally high resolution
images, par- ticularly of the left atrium, mitral valve, and
intraatrial septum. Addi- tionally, from the stomach (trans gastric
views), the ventricles can be dependably imaged. Transesophageal
echo cardiography presently is utilized in two environments:
intraoperatively and for outpatient examinations. Intraoperatively,
TEE is utilized to monitor cardiac function and de- tect
intracardiac air or debris, to diagnose or quantitate cardiac path-
ology, and to access operative results.
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