New ASE Guideline in JASE on Performing TEE Exam in CHD Patients

The February JASE contains, “Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination in Children and All Patients with Congenital Heart Disease: Recommendations from the American Society of Echocardiography.” The prior guideline for TEE was published in 2005 and focused on when to do it, how to do it, and who should do it. Writing group chair, Michael D. Puchalski, MD, FASE, said, “This new paper really expands on that in a significant way by providing a comprehensive protocol for image acquisition. We recommend numerous views to evaluate a wide variety of congenital heart conditions and have added 3D echo, which did not exist in 2005. The technologic advancements in the last decade or more have expanded the use of TEE to guide interventions in the catheterization lab and improve operative outcomes from the smallest babies to the oldest adult.”

Other JASE articles include a state-of-the-art review on pathophysiology and echocardiographic diagnosis of left ventricular diastolic dysfunction and clinical investigations on three-dimensional echocardiography of the tricuspid valve, left atrial function and heart failure risk, cardio-oncology, echocardiographic markers of high risk Chagas cardiomyopathy, and fetal echocardiography along with a preclinical investigation on three-dimensional echocardiographic holography. James N. Kirkpatrick, MD, FASE, and Alan S. Pearlman, MD, FASE, penned the article, “Ethical Challenges in the Practice of Echocardiography: What is Right and How Do We Do It?” based on the 2018 Richard Kerber Lecture on Ethics and Humanitarianism. The Blue Pages include the President’s Message by Jonathan R. Lindner, MD, FASE, “Technology is Sometimes a Double-edged Sword,” and the COPE column, “Perioperative Echocardiography in a Multi-Disciplinary Care Team,” by Himani Bhatt, MD, MPA, FASE, and Sheela Pai Cole, MD, FASE.