Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content

Trans-oesophageal echocardiogram (TOE)

3-minute read

This page will give you information about a trans-oesophageal echocardiogram (TOE). If you have any questions, you should ask your GP or other relevant health professional.

What is a TOE?

A trans-oesophageal echocardiogram (TOE - also called an echo) is a procedure to look at your heart chambers and valves using a flexible telescope placed down your oesophagus (gullet). The telescope has an ultrasound scanner attached to it so your heart specialist can get close-up views of your heart.

Illustration of a trans-oesophageal echocardiogram.
A trans-oesophageal echocardiogram.

What are the benefits of a TOE?

A TOE is usually used to help assess a problem with one of your heart valves and can show if it is possible to repair or replace that valve.

A TOE is also used to help guide the heart specialist during procedures to close holes between heart chambers or insert devices.

If you need a controlled electric shock to treat an abnormal heart rhythm (cardioversion), a TOE is sometimes used first to check if you have a blood clot in any of your heart chambers.

Are there any alternatives to a TOE?

A trans-thoracic echocardiogram also uses ultrasound to give pictures of your heart.

An MRI or CT scan can give some information about your heart but a TOE is the best way to look closely at your heart valves.

What does the procedure involve?

A TOE usually takes 15 to 20 minutes. Your heart specialist may offer you a sedative to help you to relax.

Your heart specialist will place a flexible telescope (endoscope) into the back of your throat. Your heart specialist will use the scanner to take ultrasound images of your heart chambers and valves.

What complications can happen?

Some complications can be serious (overall risk of death: 1 in 10,000).

  • sore throat
  • allergic reaction
  • breathing difficulties or heart irregularities
  • heart attack (where part of the heart muscle dies) or stroke (loss of brain function resulting from an interruption of the blood supply to your brain) can happen if you have serious medical problems
  • making a hole in your oesophagus or stomach (perforation)
  • damage to teeth or bridgework
  • bleeding
  • infection
  • incomplete procedure

How soon will I recover?

If you were not given a sedative, you should be able to go home and return to normal activities straightaway.

You should be able to return to work the next day unless you are told otherwise.

Regular exercise should improve your long-term health. Before you start exercising, ask the healthcare team or your GP for advice.

Summary

A TOE is usually a safe and effective way of finding out more about a problem in your heart chambers and heart valves.

IMPORTANT INFORMATION

The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you. Medical Illustration Copyright © Medical-Artist.com.

For more on how this information was prepared, click here.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2021


Back To Top

Need more information?

These trusted information partners have more on this topic.

Top results

Echocardiogram - "Echo" - St Vincent's Heart Health

Information about Echocardiogram (Echo).

Read more on St Vincent's Hospital Heart Health website

Rheumatic Heart disease fact sheet

Rheumatic Heart disease fact sheet

Read more on NSW Health website

Coronary heart disease

The underlying cause of coronary heart disease is a slow build up of fatty deposits on the inner wall of the blood vessels that supply the heart muscle with blood (the coronary arteries).

Read more on WA Health website

Congenital heart disease: 0-18 years | Raising Children Network

Children with congenital heart disease are born with heart defects. Many heart defects don’t need treatment, and most children go on to live active, healthy lives.

Read more on raisingchildren.net.au website

Heart murmurs: symptoms, risk factors and treatments - MyDr.com.au

Heart murmurs are heard between heartbeats if the blood flow through the heart becomes turbulent.

Read more on myDr website

Rheumatic heart disease - Better Health Channel

betterhealth.vic.gov.au

Read more on Better Health Channel website

Heart failure overview - MyDr.com.au

Heart failure is when your heart can't effectively pump blood around your body, but it doesn’t mean your heart is about to stop or fail completely - you can live with heart failure for many years.

Read more on myDr website

Heart failure

Heart failure occurs when the heart muscle has become too weak to pump blood through the body as effectively as normal.

Read more on WA Health website

Heart attack - MyDr.com.au

A heart attack (myocardial infarction) means the blood supply to part of the heart muscle has become blocked. Early treatment can reduce muscle damage.

Read more on myDr website

Heart murmur in children & teenagers | Raising Children Network

A heart murmur is an extra noise in the heart. It has several causes in children and teenagers, some of which you don’t need to worry about. Read more.

Read more on raisingchildren.net.au website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Victorian government logo Government of Western Australia, health department logo