9 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... on Echocardiogram ... with Contrast ( ... #Contrast #a4c ... clinical #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... (a4c) A patient ... Ivan_Echocardio #atrial ... #Bubble #Contrast
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... oddly satisfying bubble ... #Study #ASD #Atrial ... Cardiology #POCUS #Echocardiogram ... #A4C #Large
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
demonstrated by contrast ... TTE when bubbles ... visualized in the left atrium ... being noted in the right ... #A4C #bubble #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... with an ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... #Atrium #RA #Differential ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Left sided > Right
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... Early transit of bubbles ... as RAP>LAP as atrial ... stretched PFO or ASD ... clinical #pocus #a4c
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... Libman Sacks) • Atrial ... • Left sided > Right ... #Differential #