ASPD bidirectional atrial radiology cxr bubble cardiac pocus tamponade 2 contrast doubleshunt

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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 ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... Echocardiogram #clinical #pocus

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

Negative Contrast ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c #pocus ... #bubble

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