ASPD bidirectional cardiology a4c apical cardiac management pocus tamponade shunting dilated left

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

Giant dilated left ... valve doesn’t look typical ... 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

septum shifts left ... In addition to dilated ... PVeins (extra-cardiac ... #a4c #intrapulmonary ... #cardiology #saline

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