ASPD bidirectional atrial cardiology nejm pocus plax large septal doubleshunt contrast a4c 1: 2

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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 ... septum shifts left ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary ... #cardiology #saline

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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... Differential #Diagnosis #cardiology ... #pocus #bubble

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