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. 2022 May 1;11(9):2546. doi: 10.3390/jcm11092546

Figure 1.

Figure 1

Illustrative TEE—views of the transseptal puncture procedure. (A) shows septal tenting immediately after retraction of the sheath in the bicaval view (90–110°, usually). (B) shows the advanced needle aligned in an optimal direction, away from the aortic root, as well as within acceptable distance to the posterior left atrial wall. (C) catches the instance of septum perforation in the same patient. (D) illustrates the advanced introducer sheath within the left atrium.