The initial breach was satisfactorily closed with a 15-mm-sized Amplatzer atrial septal defect occluder (third device) confirmed to be well-seated on real-time 3D imaging, with the three components visible (two cribriform closure disks and one thick central neck/waist). View Video 2 at http://movie-usa.glencoesoftware.com/video/10.1530/ERP-19-0061/video-2.