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Mirror-image dextrocardia is non-life-threatening but not commonly diagnosed in the clinic. With the internal organs reversed, most of the patients with mirror-image dextrocardia have no clinical symptoms if the dextrocardia is not combined with other intracardiac malformations. Mirror-image dextrocardia is often discovered during other physical check or performing other examinations. In the present study, we reported a successful closure of a left atrial appendage in an 84-year-old patient with mirror-image dextrocardia with atrial fibrillation under the guidance of transesophageal echocardiography (TEE). Detailed perioperative steps of patient procedure description and TEE monitoring were described in this report.

case reports in cardiology

Perioperative Application of Transesophageal Echocardiography in Left Atrial Appendage Occlusion in an Elderly Patient with Mirror-Image Dextrocardia and Atrial Fibrillation