Ascites pocus radiology abdominal s4c atrial pericardial contrast bubble cardiac 1: management fibrillation ra 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 ... other) causing ⬆️ RA ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt

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