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Atrioesophageal Fistula on Echocardiogram (a4c)
Spontaneously appearing microbubbles during coughing. 
Left: normal breathing  Right: during coughing

Ivan
Atrioesophageal ... Fistula on Echocardiogram ... Ivan_Echocardio #atrial ... #Fistula #a4c # ... clinical #cardiology #pocus