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Fig. 1E —9-year-old girl with Amplatzer septal occluder (AGA Medical Corporation) in good position. See also Figs. S1G-S1K, cine loops, in supplemental data. Multiplanar reformation image with plane through two metallic points and superior vena cava shows laminar flow (arrow) from superior vena cava to right atrium. In most patients with Amplatzer septal occluder, right atrial disk (arrowheads) protrudes slightly into superior vena caval to right atrial flow tract, which is normal condition. In some patients, protrusion is so prominent that normal laminar flow is interrupted (Fig. 7C).