This work extends the clinical benefits of phased array transesophagea
l echocardiography with high detail and contrast resolution to include
neonatal patients. We have built several prototype, 64-element, 7.5-M
Hz phased array transducers housed in. 6.2-mm endoscope shafts for use
with commercially available imaging systems. The acoustic design is s
tandard, but the miniaturized packaging of the electrical connections
was quite challenging. The endoscopes demonstrate very good structural
resolution and excellent sensitivity for color flow imaging and conti
nuous-wave Doppler. They have been used on patients as small as 1.9 kg
, frequently as an anatomical guide during catheter-based intervention
s and during congenital heart surgery. Array test data and representat
ive clinical studies are shown.