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A 78-year-old woman with shortness of breath was referred for percutaneous treatment of multiple atrial septal defects (ASDs). Transthoracic echocardiography showed a moderate enlargement of the right ventricle. Transoesophageal echocardiography (TEE) identified three atrial septal ASDs separated by a long distance ( Panel A ). An inferior and posterior location of a 12 mm defect, an anterior and superior location of a 10 mm defect and a superior location …

3-D transoesophageal echocardiography guidance in percutaneous closure of three distant atrial septal defects