Transoesophageal Echo (TOE)

Note: A TTE must have been performed prior to TOE and a cardiologist consultation will be arranged prior to the procedure.

Common Indications

Assessment of valvular conditions.
Congenital heart disease.
Investigation of a cardiac source of embolism in stroke/TIA patients.
Investigation for possible infective endocarditis.

Test Description

Transoesophageal Echocardiogram (TOE) is an ultrasonic diagnostic test performed under light sedation in a private hospital (Warringal Hospital) by a cardiologist.

A transducer is passed into the patient’s oesophagus to create a clear image of the heart muscle and other parts of the heart.

Transoesophageal Echocardiography provides a much better image of the heart as the ultrasound beams do not need to pass through the skin, fat and lung before scanning the heart. This method is particularly useful for the imaging of the valves of the heart, the aorta and septal defects.

Preparation Details

(Approximately 1 hr duration)

Patients are required to not have anything to eat or drink for at least 6 hours before the test. Continue to take all normal medication (including warfarin) unless instructed otherwise. If the test is scheduled in the morning & patients need to take their usual medication, they should take them with just a small sip of water. Please ask the patient to bring a list of their current medications, dressing gown and slippers.

Most patients prefer to be sedated for the procedure, if so they should be accompanied by an adult who can escort and drive them home and stay with them overnight. If your patient lives alone and has no family or friends to care for them, arrangements can be made for the patient to stay overnight in the Diagnostic Day Unit.

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