Transesophageal echocardiography (TEE)

Transesophageal echocardiography is a cardiac imaging examination performed by inserting a miniature ultrasound probe into the esophagus, which lies just behind the heart. This proximity between the probe and the heart produces images of markedly higher resolution than transthoracic echocardiography, particularly for the posterior structures of the heart. TEE is a semi-invasive examination that usually requires local anesthesia of the throat and sometimes light sedation. It is performed when standard transthoracic echocardiography does not provide sufficiently precise images or when certain cardiac structures need to be visualized at maximum resolution. This examination is particularly effective for the detailed assessment of the heart valves (especially the mitral valve), the search for thrombus (clots) in the atria (particularly in the left atrial appendage), the diagnosis of infective endocarditis (valve vegetations), the detection of aortic dissection and the evaluation of prosthetic valves. At the Clinique Pasteur in Tunis, TEE is performed under optimal safety conditions by an experienced echocardiographer, with continuous monitoring of vital signs. Patient comfort is a priority, and light sedation is offered to minimize discomfort during the procedure.