December 2006

The pediatric echocardiogram is a unique examination with features that distinguish it from other echocardiograms. There is a wide spectrum of anomalies encountered in patients with congenital heart disease. Certain views are of added importance for pediatric examinations: the subxiphoid (or subcostal), suprasternal notch, and right parasternal views. The acquisition and proper display of images from these views are critical aspects of the pediatric TTE. In addition, special techniques are required for imaging uncooperative infants and young children, including sedation and distraction tools that will allow performance of a complete examination. The purposes of this document are to: (1) describe indications for pediatric TTE; (2) define optimal instrumentation and laboratory setup for pediatric echocardiographic examinations; (3) provide a framework of necessary knowledge and training for sonographers and physicians; (4) establish an examination protocol that defines necessary echocardiographic windows and views; (5) establish a baseline list of recommended measurements to be performed in a complete pediatric echocardiogram; and (6) discuss reporting requirements and formatting of pediatric reports.