Role of Transesophageal Echocardiography during Left Atrial Appendage Occlusion Device Closure in a Patient with Non-Valvular Atrial Fibrillation and Angiodysplasia of the Colon

Figures

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  Figure 1. Left atrial appendage landing zone (neck width) measurement (a) mid-esophageal left atrial appendage view at 20°. (b) Mid-esophageal left atrial appendage view at 50°. (c) Left atrial appendage angiography right anterior oblique 30° and Cranial 30°

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  Figure 2. Transoesophageal echocardiography-guided transseptal puncture. (a) Mid-esophageal bicaval view, the arrow pointing at the inferior part of the fossa ovalis. (b) Mid-esophageal aortic valve short-axis view, the arrow pointing at the posterior part of the fossa ovalis. (c) Septal puncture in inferoposterior part and catheter in the left atrium

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  Figure 3. Mid-esophageal left atrial appendage view showing Amplatzer cardiac plug (yellow arrow) in the left atrial appendage and normal flow in the left upper pulmonary vein (red arrow)

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  Figure 4. Left atrial appendage angiogram postdeployment showing no residual leak across the device and arrow is showing the stent in the left circumflex

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  Figure 5. Amplatzer cardiac plug [ACP], St. Jude Medical Incorporation, Minnesota, USA