ASPD bubble radiology a4c s4c mitral septal doppler mitralvalve plax asd constrictive cp atrial 2

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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 ... = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c

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