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Indications and Guidelines for Performance of Transesophageal Echocardiography in Congenital Heart Disease and Pediatric Acquired Heart Disease

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Transesophageal Echocardiography for Congenital Heart Disease

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Abstract

Transesophageal echocardiography (TEE) represents a specialized application of ultrasound with significant benefits in the anatomic, functional, and hemodynamic assessment of patients with congenital heart disease (CHD). This imaging modality is also known to play an important role in the management of children with acquired heart disease. The indications for transesophageal imaging in children with conditions or diseases of the cardiovascular system as well as in adults with CHD have evolved over the years. In general, in the current medical era the indications can be categorized into those related to diagnostic evaluation, perioperative assessment, and monitoring during interventions. As the technology has advanced and the use of this imaging approach has become widespread, guidelines for training and performance of TEE in these patient groups have been developed.

This chapter reviews the evolution of indications and current guidelines regarding the use of TEE in CHD and pediatric acquired heart disease. Safety considerations, complications, and contraindications relevant to the TEE assessment in this patient population are also addressed.

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Authors and Affiliations

  1. Divisions of Pediatric Anesthesiology and Pediatric Cardiology, Departments of Pediatrics and Anesthesiology, Texas Children’s Hospital, Baylor College of Medicine, 6621 Fannin, Suite W17417, Houston, TX, 77030, USA

    Wanda C. Miller-Hance MD, FACC, FASE

  2. Division of Cardiology, Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, 6621 Fannin, Suite W17417, Houston, TX, 77030, USA

    Nancy A. Ayres MD

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  1. Wanda C. Miller-Hance MD, FACC, FASE
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  2. Nancy A. Ayres MD
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Correspondence to Wanda C. Miller-Hance MD, FACC, FASE .

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Editors and Affiliations

  1. Childrens Hospital Los Angeles Department of Cardiology, University of Southern California Keck School of Medicine, Los Angeles, California, USA

    Pierre C. Wong

  2. Pediatric Cardiovascular Anesthesiology, Texas Children's Hospital, Houston, USA

    Wanda C. Miller-Hance

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Miller-Hance, W.C., Ayres, N.A. (2014). Indications and Guidelines for Performance of Transesophageal Echocardiography in Congenital Heart Disease and Pediatric Acquired Heart Disease. In: Wong, P., Miller-Hance, W. (eds) Transesophageal Echocardiography for Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-84800-064-3_3

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