case_images: PMC9831650_01
case_images: Transthoracic echocardiography suggested secondary atrial septal defect.
case_images: rjac612f1.jpg
case_images: PMC9831650_01_rjac612f1.jpg
case_images: f1
case_images: The transthoracic echocardiography indicated atrial septal defect (Type II, diameter 25 mm); left-to-right bidirectional shunt, severe pulmonary hypertension (estimate PAP: 114 mmHg); right atrium and ventricular dilatation with severe tricuspid regurgitation (Fig. 1).
case_images: Occlusion of the occluder in advance reserved hole 5 mm.
case_images: rjac612f2.jpg
case_images: PMC9831650_01_rjac612f2.jpg
case_images: f2
case_images: Paul, MN, USA; Fig 2) through the right femoral vein, occlusion of the occluder in advance.
case_images: Re-plugged the 5-mm reserved hole.
case_images: rjac612f3.jpg
case_images: PMC9831650_01_rjac612f3.jpg
case_images: f3
case_images: Paul, MN) to eliminate the shunt Fig. 3).