LGV lv a4c s4c pocus lachmans psax dissection anatomy defect asd aortic dilated mcconnells thrombus

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

seen in RA. dilated ... later with normal LV ... and RV function ... #Clinical #POCUS ... Echocardiogram #A4C

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