ASPD bubble echocardiogram a4c cardiomyopathy contrast saline septal 1: large 2 doubleshunt

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

1. ... Early transit of bubbles ... >LAP as atrial septum ... DavidWienerMD #DoubleShunt ... clinical #pocus #a4c

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

Differential Diagnosis 1. ... to right shunt 2. ... opacification by agitated saline ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble

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