
Figure 1
Intraoperative transesophageal echocardiographic image shows left atrial compression secondary to a retrocardiac hematoma caused by the Medtronic Penditure clip.

Figure 2
Intraoperative view showing bleeding from the atrioventricular groove adjacent to an eroded Medtronic atrial appendage clip, secured with a pledgeted 3-0 Prolene suture.