Figure 5: (a) Echocardiogram of the patient #2 in the subcostal short axis view with a color Doppler showing an aneurysmal interatrial septum with multiple fenestrated atrial septal defects, shunting left to right [white arrows].(b) The sail-like aneurysmal interatrial septum moving towards the left atrium in some stages of the cardiac cycle.(c) Apical four chamber view showing aneurysmal interatrial septum and atrial septal defect shunting left to right [arrow].(d) Transesophageal echocardiogram confirming the aneurysmal interatrial septum along with multiple atrial septal defects marked with arrows.(e) Wire and catheter combination seen crossing through the relatively larger superior hole [arrow].(f and g) Postdevice deployment echocardiogram transesophageal echocardiogram and transthoracic apical four chamber view showing good device position with no residual flow