>Alina Nicoara, MD is Assistant Professor, Department of Anesthesiology, Duke University.

>John Wasnick, MD Chairman, Department of Anesthesiology, Texas Tech University Medical Center.

Preface
Contributors to the First Edition
Introduction to Perioperative Echocardiography
What Can Be Learned From Perioperative Transesophageal Echocardiography (TEE)?
What Echocardiographic Modalities Are Employed and How Can They Be Used?
What Are the Indications and Contraindications for Perioperative TEE?
Briefly, How Does Echocardiography Work?
What Constitutes the Standard Perioperative TEE Examination?
How Is TEE Routinely Used Perioperatively?
What Is the Role of Three-Dimensional Echocardiography in Perioperative Management?
How Can Echocardiography Be Used to Determine Cardiac Output, Pressure Gradients, and Other Hemodynamic Measures Formerly Done With a Pulmonary Artery (PA) Catheter?
Image and Video Atlas
Chapter 1 Preoperative Evaluation of the Heart Surgery Patient
Consent for Cardiac Anesthesia
Cardiac Surgery and Teamwork
Coronary Stents or Coronary Artery Bypass?
Cardiology Evaluation
Preoperative Assessment
Preoperative Patient Care and Comfort
Chapter 2 Hemodynamics and Cardiac Anesthesia
Hemodynamic Calculations and Invasive Monitors: Why Are They Important and How Does One Determine Them?
The Pumping Heart: How Does the Pump Contract and Relax?
Pharmacology and Hemodynamics: An Introduction
TEE and Hemodynamic Instability: How TEE Advances the Diagnosis of Hypotension?
Avoiding Hemodynamic Collapse: A Case Illustration
Chapter 3 Perioperative Rhythm Abnormalities
The Electrocardiogram
ECG Abnormalities
Bradyarrhythmias
Temporary Pacemaker
Supraventricular Tachycardias
Ventricular Tachycardia and Fibrillation
TEE and the ECG
Case Scenario
Chapter 4 Routine Cardiac Surgery and Anesthesia
Immediate Preoperative Assessment and Antibiotic Prophylaxis
Monitoring and Vascular Access
Anesthetic Induction and Maintenance
Institution of Cardiopulmonary Bypass
Separation From CPB
Sternal Closure and Patient Transport
Commonly Used Vasoactive Drugs in the Cardiac Surgery Patient
Case Illustration
Summary
Chapter 5 The Complicated Patient for Cardiac Anesthesia and Surgery
The Patient With Impaired Systolic and Diastolic Ventricular Function
The Reoperative Patient
The Diabetic Patient and Perioperative Glucose Control
The Vascular Disease Patient in Need of Cardiac Surgery
The Kidney Failure Patient and Cardiac Surgery
Chapter 6 Aortic Valve Disease
Overview
The Clinical Signs and Symptoms of AV Disease
Physiologic Compensatory Mechanisms of AV Disease
Echocardiography and AV Disease
Surgical and Catheter-Mediated AV Replacement
Anesthetic Implications of AV Diseases
Clinical Scenario: The Patient With Mixed AS/AR and the Emergency Institution of CPB
Chapter 7 Mitral Valve Disease
The Clinical Signs and Symptoms of MV Diseases
Physiologic Compensatory Mechanisms of MV Diseases
Echocardiography and MV Diseases
Surgical and Catheter-Mediated Approaches to the Repair and Replacement of the MV
Surgical Approaches to the Management of Atrial Fibrillation
Anesthetic Implications of MV Diseases
Case Scenario
Chapter 8 Right Heart Valves and Function
The Clinical Signs and Symptoms of Tricuspid Valve Diseases
RV Function
The Pulmonic Valve
Echocardiography of Right Heart Structures and Right Ventricular Function
Echocardiographic Evaluation of the Tricuspid Valve and Tricuspid Regurgitation
Surgical Approaches to TV Diseases
Anesthetic Implications of TV Diseases, Pulmonary Hypertension, and RV Failure
Case Scenario: The Patient With Endocarditis
Chapter 9 Anesthesia for Repair of Diseases of Thoracic Aorta
Diseases of the Ascending Thoracic Aorta
Diseases of the Descend