Fig. 1. (A) An image of the large 8 mm esophageal–pleural fistula (arrow) at 5 days before occluder placement. (B) Initiation of opening the occluder from the delivery device. (C) Detachment of the occluder from the delivery device. (D) Successful placement of the atrial septal defect occluder.

Fig. 2. X-ray taken the day after occluder placement.

Fig. 3. Follow-up endoscopy performed 1 month after occluder placement.