Nina C. Wunderlich et al. JIMG 2015;8:

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Nina C. Wunderlich et al. JIMG 2015;8:472-488 Imaging Approach to LAA Closure: An Overview Top left panel shows a cross section of the left atrium and the orientation of the LAA, left circumflex coronary artery, mitral valve as well as the left upper pulmonary vein. Top right panel depicts the various LAA morphologies and shapes. Middle panel demonstrates the critical locations where measurements need to be made for optimal sizing of the LAA occlusion device. Bottom left panel illustrates the optimal placement of LAA occluder device and first generation LAA plug for LAA occlusion. ASD = atrial septal defect; CT = computed tomography; Cx = circumflex coronary artery; LAA = left atrial appendage; LUPV = left upper pulmonary vein; MDCT = multidetector computed tomography; MRI = magnetic resonance imaging; TEE = transesophageal echocardiography; TTE = transthoracic echocardiography. Nina C. Wunderlich et al. JIMG 2015;8:472-488 2015 American College of Cardiology Foundation