case_images: PMC4322409_01
case_images: Purse string taken over right atrial wall through the right sub-mammary incision
case_images: APC-8-74-g001.jpg
case_images: PMC4322409_01_APC-8-74-g001.jpg
case_images: F1
case_images: The right atrium (RA) was approached via a right sub-mammary incision in the right fifth intercostal space [Figure 1].
case_images: Puncture in the centre of the purse string suture through the intercostal space
case_images: APC-8-74-g002.jpg
case_images: PMC4322409_01_APC-8-74-g002.jpg
case_images: F2
case_images: The RA was punctured with Seldinger needle in the centre of the purse string suture through the intercostal space in the anterior axillary line away from the sub-mammary incision [Figure 2].
case_images: 5 Fr JR catheter placed in LIPV
case_images: APC-8-74-g003.jpg
case_images: PMC4322409_01_APC-8-74-g003.jpg
case_images: F3
case_images: A Judkin's 5 Fr right coronary catheter was introduced into the left atrium (LA) and subsequently into the left inferior pulmonary vein (LIPV) [Figure 3].
case_images: 8F TorqVue sheath being introduced over a superstiff wire into LA
case_images: APC-8-74-g004.jpg
case_images: PMC4322409_01_APC-8-74-g004.jpg
case_images: F4
case_images: Jude Medical, Plymouth, MN, USA) was passed over the super-stiff wire positioned in the LIPV [Figure 4].
case_images: Deployment of 18 mm ASO by pulmonary vein technique
case_images: APC-8-74-g005.jpg
case_images: PMC4322409_01_APC-8-74-g005.jpg
case_images: F5
case_images: An 18 mm Amplatzer septal occluder was delivered by the pulmonary vein deployment technique [Figure 5].
case_images: Final position of ASO after release
case_images: APC-8-74-g006.jpg
case_images: PMC4322409_01_APC-8-74-g006.jpg
case_images: F6
case_images: TTE [Figure 6].
case_images: Scar (measuring 2 cm) as seen on the first postoperative day
case_images: APC-8-74-g007.jpg
case_images: PMC4322409_01_APC-8-74-g007.jpg
case_images: F7
case_images: The sheaths were removed and RA puncture sight was closed with the purse string suture. The sub-mammary incision measuring 2 cm [Figure 7] was closed using absorbable suture.