Figure 7: (a) Transthoracic echocardiogram of the patient #4 in the subcostal short axis view showing two atrial septal defects with floppy atrial septum [arrows]. (b) Transesophageal echocardiogram with color Doppler in 90 degree view showing two atrial septal defects [green arrows]. (c) Under transesophageal echocardiogram guidance, a wire is advanced through the superior hole [white arrow].(d) Fluoroscopic view [arrow] showing wire assisted septal occluder delivery through the right pulmonary vein approach. (e) Postdeployment echocardiogram showing mild residual flow through the inferior part of the septum which is reduced on follow-up.(f and g) Follow up echocardiogram in parasternal short axis and apical four chamber views showing good device position and good occluder configuration
![Figure 7: (a) Transthoracic echocardiogram of the patient #4 in the subcostal short axis view showing two atrial septal defects with floppy atrial septum [arrows]. (b) Transesophageal echocardiogram with color Doppler in 90 degree view showing two atrial septal defects [green arrows]. (c) Under transesophageal echocardiogram guidance, a wire is advanced through the superior hole [white arrow].(d) Fluoroscopic view [arrow] showing wire assisted septal occluder delivery through the right pulmonary vein approach. (e) Postdeployment echocardiogram showing mild residual flow through the inferior part of the septum which is reduced on follow-up.(f and g) Follow up echocardiogram in parasternal short axis and apical four chamber views showing good device position and good occluder configuration](articles/2022/6/3/images/JIndianAcadEchocardiogrCardiovascImaging_2022_6_3_171_357591_f7.jpg)