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.