ASPD bidirectional atrial radiology cxr bubble cardiac pocus shunting 1: 2 artery afib dilated a4c

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Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history

sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus

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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 ... as RAP>LAP as atrial ... In addition to dilated ... PVeins (extra-cardiac ... #a4c #intrapulmonary

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