ASPD bidirectional atrial cardiology nejm pocus plax large septal doubleshunt intrapulmonary 1:

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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 ... Echocardiogram #clinical #pocus ... #cardiology #saline

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