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Heart Hospital - Procedures
Transesophageal Echocardiogram (TEE)


Why is the doctor performing this procedure?

To visualize a detailed image of the heart’s movement, valves, and chambers.

What is the procedure?

TEE is an ultrasound study used to view the heart’s anatomy and function. A transducer that emits high-frequency sound waves is placed into your mouth and into the esophagus. The esophagus is the tube that connects the mouth to the stomach. This location is closer to the heart (the esophagus lies directly behind the heart), and allows a real-time view of the heart that has much less interference from the chest wall and lungs than routine echocardiography. The heart is shown on a television screen and pictures are made on a videotape.

Why is a TEE done?

The TEE is usually performed when there is a need to examine hard-to-see parts of the heart. It gives images that are sharp and clear. A TEE might be done to:
  • Assess heart valve problems.
  • Find blood clots or masses in the heart.
  • Find holes between heart chambers which may be present from birth.
  • Check artificial heart valve function.
  • Detect infection of heart valves.
  • Diagnose a tear in the lining of the aorta.
  • Define all of the cardiac structures in detail when a standard echocardiogram does not define them clearly.

Preparing for The Test

A TEE takes about 45 minutes. This includes 30 minutes for sedatives to take effect and 10-15 minutes for the test itself.

  • Do not eat food or drink fluids for 6 hours prior to the test.
  • Have someone drive you to the hospital and take you home.
  • Antibiotics may be given before the TEE to prevent infections.

During The Test

We will:

  • Start an intravenous (IV) line for medicine.
  • Numb your throat with an anesthetic spray.
  • Give you medicine to help you relax.
  • Give you oxygen through your nose.
  • Monitor your blood pressure, heart rhythm and oxygen level.
You are then placed on your left side. The doctor inserts a tube-shaped transducer into your throat. You are asked to swallow as the tube is placed in your throat and esophagus. The doctor can view various parts of your heart by moving the tube.

After Your TEE

You:
  • May have a mild sore throat. This is temporary.
  • Are monitored for about 15-30 minutes in the TEE lab. You then return to your hospital room.
  • May eat or drink when you are able to swallow and/or have feeling in the back of your throat (about one hour after the procedure).
  • May not drive a car today.

Your Test Results

The cardiologist who did the test may give you early test results. Your primary doctor will discuss the test results during your next office visit.

6/16/2008