ASPD bidirectional atrial cardiology nejm pocus plax large cardiac contrast saline doubleshunt

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

as RAP>LAP as atrial ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... intrapulmonary #cardiology ... #saline #contrast

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