ASPD a4c ultrasound obgyn asd gynecology s4c septal pocus cardiac acls large 1: complex doubleshunt

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

>LAP as atrial septum ... stretched PFO or ASD ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary

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