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Transesophageal echocardiography (TEE) is often used to check for the presence of blood clots before this procedure. Complications are uncommon but may include: Allergic reactions to the medications Irritation of the skin on your chest or back where the electrodes were applied during electrical cardioversion Transthoracic echocardiography is preferred over TEE for the detection of left ventricular (LV) thrombus, but TEE is superior to transthoracic echocardiogram in detecting left atrial thrombus, aortic atheroma, prosthetic valve abnormalities, native valve abnormalities, atrial septal abnormalities, and cardiac tumors Rhythm Monitoring TTE vs TEE TEE considered more sensitive/specific 5% chance of finding pathologies that change management TTE with appropriate maneuvers very sensitive for PFO TTE better for LV thrombus TEE preferred if valvular disease suspected TEE better at imaging left atrium/appendage Although intraoperative transesophageal echocardiography (TEE) is increasingly important in cardiac surgery for monitoring, decision-making, and improving clinical outcomes, current society guidelines have not been updated with the latest evidence on its benefits. Intraoperative TEE use has been shown to improve outcomes and reduce mortality in high-risk cardiac surgery patients, particularly ...