FIGURE LEGEND
Figure 1: Step-by-step illustration of left atrial appendage (LAA) and fenestrated atrial septal defect (ASD) closure. (A) Dilated atriums in patients with atrial septal defect and restrictive left ventricle; (B) Closure of the left atrial appendage under transesophageal echocardiography and fluoroscopy guidance; (C) Creation of fenestration at the device using the dilator of the delivery sheath; (D) Presence of fenestration at the ASD occluder; (E) 3D transesophageal echocardiogram looking from the right atrium showing the fenestration (arrow) on the septal occluder ; and (F) left to right shunting across the fenestrated septal occluder on Color Doppler.