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A short clinical text introduces each of the 150 new cases. The echocardiograms are demonstrated by 2-5 high-quality images accompanied by legends describing the views and the salient details of the case. These include 2D, M-mode tracings, spectral Doppler and colour Doppler echocardiograms. A short commentary follows in which the relevance of the echocardiographic findings is discussed. The text will also serve to aid those taking the American Society of Echocardiography examinations.