Ascites pocus radiology abdominal s4c atrial pericardial contrast bubble cardiac 1: management doubleshunt saline

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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 ... #cardiology #saline

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

Negative Contrast ... Differential Diagnosis 1. ... opacification by agitated saline ... echocardiogram #s4c ... #pocus #bubble

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