ASPD a4c ultrasound labeled renal asd s4c embolism bubble arterial clinical sign embolization 1: 2

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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 ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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