1. History and Overview 2. Ultrasound Imaging Modalities 3. Equipment Design and Operation 4. Basic Examination Technique and Cross Sections 5. Additional Cross Sections 6. LV Preload, Ejection Fraction, Afterload, And Contractility 7. Detection of Myocardial Ischemia 8. Evaluation of Valvular Function 9. Assesment of Surgical Repairs 10. Organizing an Intraoperative TEE Service 11. Indications and Complications 12. The Future of Intraoperative TEE