Transesophageal echocardiography was initially developed to supplement an
inadequate precordial echocardiographic examination. With high frequency
transducers providing high resolution and detailed imaging, the technique has
gained importance as a diagnostic tool in a considerable number of patients with
cardiovascular disease, by providing unique information. In this study, the
diagnostic utility and benefits of the application of transesophageal echocardiography
in the clinical practice of cardiology are investigated.
The first part of the study (Chapter 1) provides a review of the technological
developments in transesophageal echocardiography. This is followed by a
description of the comparative diagnostic value and limitations of precordial
and transesophageal echocardiography. Subsequently, the transesophageal
cross-sectional echocardiographic anatomy; the execution of the transesophageal
procedure; the indications; the contraindications; the limitations; the technical
perspectives and recommendations for training are described. Finally, a
survey of the Thoraxcenter experience is presented.
An overview of the diagnostic value of trans esophageal echocardiography
in solving diverse clinical problems is discussed in Chapter 2. In Chapters 3 to
7 the unique advantages of transesophageal echocardiography are described for
the diagnosis of thoracic aorta pathology, the assessment of native and Bjork
Shiley mitral valve regurgitation by color Doppler flow imaging, for diagnosis
of infective endocarditis, the detection of intracardiac thrombus, and visualization
of the left coronary arter
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