Page 43 - Journal of Structural Heart Disease Volume 4, Issue 2

Meeting Abstracts
64
Figure 1.
Figure 2. The membrane arising from the IAS just above the small ASD.
Figure 3. The anatomical relationship between LAA, membrane and LAA.
the LAA. We decided not to cross the interatrial septum through the ASD but to perform the transseptal puncture in a more postero-infe- rior position in the IAS below the membrane.
Figure 4. LAA with "cauli ower" morphology, no evidence of clots.
Figure 5. The passage of the delivery system below the membrane, towards the LAA.
Figure 6. The Watchman device allocated in LAA just below the membrane.
Conclusions: In our case the decision to close the LAA was very helpful for the patient with Cooley’s disease and absolute contrain- dication for anticoagulation. The 3D ndings help us to guide the
Journal of Structural Heart Disease, April 2018
Volume 4, Issue 2:56-65