ASPD a4c clinical echocardiogram thrombus effusion endocarditis bubble apical 2 doubleshunt dilated

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

Early transit of bubbles ... In addition to dilated ... DavidWienerMD #DoubleShunt ... #clinical #pocus ... #a4c #intrapulmonary

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Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history

Giant dilated left ... valve doesn’t look typical ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology

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