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Figure 3: (a) ADO II (small arrows) placed adjacent to the previously implanted Cocoon duct occluder. (b) Aortogram after deployment of the ADO II showing good position of both devices and the coil inside the device. There was a marginal reduction in the shunt through the device. (c) Echocardiography before discharge showing significant reduction in the shunt flow to a restrictive low velocity shunt

Figure 3: (a) ADO II (small arrows) placed adjacent to the previously implanted Cocoon duct occluder. (b) Aortogram after deployment of the ADO II showing good position of both devices and the coil inside the device. There was a marginal reduction in the shunt through the device. (c) Echocardiography before discharge showing significant reduction in the shunt flow to a restrictive low velocity shunt