Every Friday morning for more than 10 years, world-renowned cardiology experts in the Echocardiography Laboratory at New York University Medical Center have continuously conferred over the week's cases, creating a unique record of the challenges they faced and advances made in a constantly evolving field. Now from this book you can gain a front-row perspective of those conferences to confront their most instructive, perplexing, and even bizarre cases. Each case begins with a short clinical presentation and pertinent echocardiographic images, followed by multiple-choice questions on diagnosis and management. With every question answered, you delve further into subsequent questions, discussions, and confirming illustrations. In this book you'll find— 92 of the most difficult and puzzling cases confronted by renowned experts More than 400 echocardiographic images, including 250 in full color, accompany the text to bring each case to life Each case stands on its own, allowing you to explore the book at your convenience cover-to-cover or in brief, random readings FREE CD-ROM INCLUDED—features images from the text plus special video clips associated with many cases! This powerful and unusual book is designed to serve all who utilize echocardiography in daily practice and academia including anesthesiologists, internists, pediatricians, and intensivists at every stage of training and experience.

Table of Contents:
Intra-aortic Mass After Aortic Dissection Repair, 1 Change in Doppler Flow Pattern Following an Intervention, 3 Echo-free Space, 5 Myocardial Infarction With a New Murmur, 7 What Was the Procedure?, 9 A 27-Year-Old Patient With a Murmur, 11 Dyspnea on Exertion, 13 Progressive Dyspnea on Exertion, 15 Different Left Ventricular Gradients, 17 Concerned Mother, 19 Can You Interpret This Doppler Spectral Tracing?, 21 Weight Loss, 23 A Patient With an Asymptomatic Murmur, 26 Massive Cardiomegaly in an Asymptomatic Patient, 29 Shortness of Breath, 32 A 62-Year-Old Woman With Disseminated Intravascular Coagulation, 34 Shortness of Breath in a Patient With a Mitral Valve Prosthesis, 36 Transient Ischemic Attack Following Myocardial Infarction, 39 Heart Murmurs, 41 How Big Is the Left Atrium?, 43 Postoperative Transthoracic Echocardiogram, 46 A 48-Year-Old Man With Fever and Cough, 50 Shortness of Breath in a Previously Healthy Patient, 52 Attempt to Record Tricuspid Flow, 55 What's Wrong With This Mitral Valve?, 57 Systolic Aortic Regurgitation, 59 Lobster Claw, 61 Chronic Shortness of Breath, 63 Pleural Effusion and Abnormal Echo, 65 Oxygen Desaturation, 67 Why Is This Young Woman Short of Breath?, 69 Chest Pain, 71 Echo After Invasive Procedure, 73 Cardiogenic Shock, 75 Postoperative Echo, 77 Rheumatic Heart Disease, 81 Abnormal Blood Count, 85 Name This Structure, 87 Heart Murmur in an Elderly Patient, 88 Dyspnea in a Patient With Lymphoma, 90 Hypertension, 92 Name This Syndrome, 94 New Murmur, 96 Murmur After Valve Replacement, 98 Murmur After Aortic Valve Replacement, 100 Unusual Mitral Valve, 102 Unique Doppler Pattern, 104 More Than Meets the Eye, 106 Name This Mass, 109 The History Is Key, 111 Transesophageal Echocardiogram (TEE) During Procedure, 113 Malfunctioning Prosthetic Valve?, 115 Elderly Patient With Syncope, 117 Chest Pain in a Patient With Aortic Plaque, 119 Syncope and Murmur, 121 Enlarged Heart, 123 What Is the Left Ventricle Pressure?, 125 Elderly Patient With Abdominal Pain, 127 Edema, 129 Elderly Woman With Chronic Obstructive Pulmonary Disease, 131 Murmur, 133 Hole in the Right Atrium?, 135 Where Is the Infection?, 138 Prosthetic Valve Disfunction?, 140 How Thin Can It Get?, 142 An Old Starr-Edwards Valve, 144 What Did You Bring Back From Nepal?, 147 Complications of Thymoma, 149 Bad Echo From Our Hospital, 153 Should You Ligate the Appendage?, 156 Transient Ischemic Attack After Valve Replacement, 158 Endocarditis, 161 High-Velocity Mitral Regurgitation, 163 Can You Name This Vessel?, 164 How Is This Mitral Regurgitation Different?, 166 Swollen Leg, 168 Is This What They Taught You in Medical School?, 170 Was It a Successful Operation?, 173 The Patient Who Fell From Her Bed, 176 Fever of Undetermined Origin, 178 Ascites, 181 Right Atrial Mass After Surgery, 183 I Had Surgery, 185 Transient Ischemic Attack One Month After Surgery, 187 Twenty-Four-Pound Weight Gain, 189 A Tough Decision, 191 Endocarditis with Shock, 194 Dyspnea in Pregnancy, 196 Pulmonary Artery Compression, 200 Cold Leg, 203 Maladie de Roger?, 207 Name This Space, 213 Index, 217