Specific Considerations for the Protection of Patients and Echocardiography Service Providers When Performing Perioperative or Periprocedural Transesophageal Echocardiography during the 2019 Novel Coronavirus Outbreak: Council on Perioperative Echocardiography Supplement to the Statement of the American Society of Echocardiography Endorsed by the Society of Cardiovascular Anesthesiologists.

• TEE carries a high risk for SARS-CoV-2 spread. • TEE should be performed when clinical benefits outweigh the risks. • Proper handling and cleaning of equipment is critical. • Airborne precautions should be used in patients suspected or confirmed COVID-19.