Figure legend
Figure 1. TTE performed from a 2D subcostal view demonstrating the absence of the PFO occluder device in the interatrial septum (Panel A) and the presence of a spontaneous left-to-right shunt due to PFO in CFM (Panel B). 2D, two dimensional; CFM, colour-flow mode; LA, left atrium; LV, left ventricle; PFO, patent foramen ovale; RA, right atrium; RV, right ventricle; TTE, transthoracic echocardiogram.
Figure 2. TEE subsequently performed confirming the absence of the occluder device in the interatrial septum and showing a very long PFO tunnel (at least 24 mm). Ao, aorta; LA, left atrium; PFO, patent foramen ovale; RA, right atrium; PFO, patent foramen ovale; TEE, transoesophageal echocardiogram.
Figure 3. Thoracoabdominal CT scan from an axial (Panel A), sagittal (Panel B) and coronal plane (Panel C) showing the occluder device into the abdominal aorta at L1 vertebral level near the origin of the coeliac trunk. Ao, aorta; CT, computed tomography; L1, first lumbar vertebra.
Figure 4. Abdominal ultrasound demonstrating the device with its two hemidiscs into the aortic lumen (Panel A), blocked at the origin of the coeliac trunk as seen in CFM (Panel B). Ao, aorta; CFM, colour-flow mode.
Figure 5. Fluoroscopic image showing the percutaneous retrieval of the device with a 35 mm Goose Neck snare. The procedure was partially successful and a resolutive surgical procedure was needed.