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Increasing utilization of newer surgical techniques-valve fixes and minimal unpleasant cardiac surgery additionally warrants intra-operative TEE. It offers us better understanding of the structure and physiology associated with valvular lesion by electronic imaging. This manuscript provides an illustrative instance based overview of intra operative TEE (IOTEE) in heart device surgery.Functional tricuspid regurgitation (TR) results from asymmetric dilation of the tricuspid valve annulus. This frequently t