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Figure 3: Atrial septal stenting in bidirectional post tricuspid shunt with severe mitral stenosis. After parking the guidewire tip in the most desired location, namely the left pulmonary vein, a stent is positioned on combined echocardiographic and fluoroscopic guidance (a) and then deployed to achieve a butterfly or dog-bone shape (b)

Figure 3: Atrial septal stenting in bidirectional post tricuspid shunt with severe mitral stenosis. After parking the guidewire tip in the most desired location, namely the left pulmonary vein, a stent is positioned on combined echocardiographic and fluoroscopic guidance (a) and then deployed to achieve a butterfly or dog-bone shape (b)