fig3

Figure 3. Transcatheter aortic valve implantation simultaneous with left atrial appendage occlusion in a 73-year-old female patient with severe symptomatic aortic stenosis (the first image) and persistent atrial fibrillation. The patient had a previous history of anemia and lower gastrointestinal bleeding associated with anticoagulation use. The procedure was started by a transfemoral implantation of a 27-mm self-expanding Portico valve. After transcatheter aortic valve implantation, the left atrial appendage was angiographically measured, and an left atrial appendage occlusion occluder was implanted (Amplatzer Amulet Occluder 28 mm)