Left atrial appendage occlusion in a mirror-image dextrocardia: A case report and review of literature

Figure 1 Details of the surgical procedure. A: Transesophageal echocardiography; B: Dextrocardia (45°); C: Morphology of left atrial appendage; D: Left femoral vein puncture; E: Atrial septum puncture; F: Superior pulmonary vein of guide wire; G: Sheath follow up; H: Auricle not fully exposed; I: Right anterior oblique cardiography; J: Occluder selection; K: Implantation of sealing umbrella; L: Pulling and plugging the closure umbrella; M: Release the closure umbrella; N: Multi angle compression ratio (24%-27%); O: No residual shunt (0°); P: 1.5mm residual shunt (45°); Q: No residual shunt (90°); R: No residual shunt (135°).