The Saints fumbled on their first play from scrimmage.
Saints running back Pierre Thomas fumbled after a hit by 49ers safety Donte Whitner (31) that forced Thomas from Saturday's playoff game.
The Saints have fumbled three times.
Whether because of nerves, hard hits or cold fingers, the Saints fumbled three times in the first quarter.
Brees led the Saints down field and connected with Thomas from one yard out and a 35-24 lead, but after turning the ball over on downs and then forcing yet another Saints fumble the Falcons got another Elam field goal in the final two minutes.