Lever cardiology a4c algorithm s4c cardiomyopathy endocarditis atrial vegetations doubleshunt

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

with end-stage liver ... as RAP>LAP as atrial ... DavidWienerMD #DoubleShunt ... clinical #pocus #a4c ... intrapulmonary #cardiology

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