DD+a4c+atrial+diagnosis pyramidal algorithm pocus effect bubble asd ra doubleshunt intrapulmonary

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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 atrial septum ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary

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

Negative Contrast Effect ... in Right Atrium ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble

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