ASPD a4c ultrasound labeled asd pulmonary s4c mcconnells bubble 2 1: thrombus embolism clots saline

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

pulmonary hypertension ... 1. ... Early transit of bubbles ... stretched PFO or ASD ... clinical #pocus #a4c

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