In this article, we revisit the heteronuclear Efimov effect in a Bose-Fermi mixture with large mass difference in the Born-Oppenheimer picture. As a specific example, we consider the combination of bosonic 133Cs and fermionic 6Li. In a system consisting of two heavy bosons and one light fermion, the fermion-mediated potential between the two heavy bosons gives rise to an infinite series of three-body bound states. The intraspecies scattering length determines the three-body parameter and the scaling factor between consecutive Efimov states. In a second scenario, we replace the single fermion by an entire Fermi Sea at zero temperature. The emerging interaction potential for the two bosons exhibits long-range oscillations leading to a weakening of the binding and a breakup of the infinite series of Efimov states. In this scenario, the binding energies follow a modified Efimov scaling law incorporating the Fermi momentum. The scaling factor between deeply bound states is governed by the intraspecies interaction, analogous to the Efimov states in vacuum.