case_images: PMC11805598_01
case_images: The transesophageal echocardiography (TEE) image obtained at a 130-degree angle mimics the typical appearance of a 60-degree angle due to the altered cardiac orientation. The white arrow indicates the large ASD, and the yellow arrow highlights the TEE imaging angle.
case_images: cureus-0017-00000077156-i01.jpg
case_images: PMC11805598_01_cureus-0017-00000077156-i01.jpg
case_images: FIG1
case_images: TEE images were reversed to properly profile the ASD (Figure 1).
case_images: Anterior-posterior (AP) fluoroscopic view showing the atrial septal defect (ASD) device being deployed with balloon support.
case_images: cureus-0017-00000077156-i02.jpg
case_images: PMC11805598_01_cureus-0017-00000077156-i02.jpg
case_images: FIG2
case_images: A 10 French ASD delivery was used to deploy a 28-size ASD occluder device using balloon support under TEE and fluoroscopic guidance (Figure 2).