Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
Year : 2014  |  Volume : 17  |  Issue : 3  |  Page : 260-261
Problem based transesophageal echocardiography

Department of Anaesthesiology, All India Institute of Medical Sciences Raipur, Chhattisgarh, India

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Date of Web Publication3-Jul-2014

How to cite this article:
Neema PK. Problem based transesophageal echocardiography. Ann Card Anaesth 2014;17:260-1

How to cite this URL:
Neema PK. Problem based transesophageal echocardiography. Ann Card Anaesth [serial online] 2014 [cited 2022 Sep 28];17:260-1. Available from:


Deepak K. Tempe

Associate Editors:

Subramaniam B

Subramaniam K

Ramakrishna H

First Edition 2014; ISBN 978-81-239-2362-8

CBS Publishers and Distributors, Pvt Ltd, Delhi, India

This is a second book on transesophageal echocardiography (TEE) by Professor Deepak K. Tempe. The earlier one " Atlas More Details on TEE" was very basic and focused on images acquired during TEE and the art of acquiring the images. This book is very different from the previous one; the chapters are authored by several national and international experts on TEE. The approach is different from the routine and as described in the title, it is problem-based TEE. At the end of each chapter, a problem-based case scenario is described. The theoretical description and concepts are generally well-supported by illustrations. Earlier, the editor has written a text book on Clinical Practice of Cardiac Anesthesia, which has been received very well and it can be expected that this will hold for this book, as well.

The book is organized in 26 chapters and includes chapters on TEE assessment of valvular pathologies, left and right ventricular function, tetralogy of Fallot, aortic pathology, cardiac masses and infective endocarditis, hypertrophic cardiomyopathy, hemodynamics, on-pump and off-pump coronary artery bypass grafting, pericardial disease, and role of TEE in Intensive Care Unit, cardiac catheterization laboratory, in percutaneous aortic valve implantation, TEE for noncardiac surgery, and heart failure surgery. Many of these chapters pertain to relatively newer areas, wherein the role of TEE imaging is rapidly expanding and, reflect the ongoing advances in cardiovascular care; in fact, for the procedures performed in catheterization laboratory TEE imaging has become a must for evaluating and confirming the adequacy of the procedure. The book intends for cardiovascular diseases encountered in adult patients. The chapters are written in a lucid manner and it is easy to follow the thoughts of the author. Majority of the chapters are comprehensive and complete; and, one does not need to shuffle through earlier chapters or refer to other books for getting the desired information. The chapters are aptly supported by TEE images, and schematic illustrations. Some of the chapters are supported with three-dimensional echocardiography images and the book has a full chapter on evaluation of mitral valve using three-dimensional echocardiography and is a useful addition to the book as other books on perioperative TEE usually does not have the same. Each chapter is followed by a problem based case scenario to understand the concepts described in the chapter. However, as many chapters are comprehensive; there is considerable repetition of information in chapters such as evaluation of right and left ventricular function, and chapters on mitral valve.

A chapter on standard views during TEE and basics of three-dimensional echocardiography would make the book friendlier to beginners learning the art of perioperative TEE. The chapter on tetralogy of Fallot appears out of place but its inclusion is justified as many patients of tetralogy present during adulthood for surgical management. The problem based case scenarios is a novel feature of the book, the understanding of case scenarios would have been better if the scenarios were described with the help of illustrations. The case scenario in chapter three on diastolic dysfunction describes administration of test dose of esmolol to control heart rate and noradrenaline to increase the mean arterial pressure; however, there is no clue how the TEE helped in selecting the therapy. The chapter two on evaluation of the left ventricular function needs revision and reorganization, at several places units of measurements are missing, though the chapter is on left ventricular function assessment; the case scenario described is on myocardial ischemia. The chapter on three-dimensional evaluation of mitral valve would have been little easier to understand if the authors had described the concept of rotation of acquired three-dimensional volume on X-axis and Y-axis. In summary, this is a comprehensive and useful book on TEE that has been well-written. The excellent images complement the text. It should prove to be a useful learning and reference source on the TEE.

Correspondence Address:
Praveen Kumar Neema
Department of Anaesthesiology, All India Institute of Medical Sciences Raipur, Chhattisgarh
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Source of Support: None, Conflict of Interest: None

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