Localization stroke algorithm pocus echocardiogram dysfunction atrial 2 bubble 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 ... as RAP>LAP as atrial ... dilated and probably dysfunctional ... DavidWienerMD #DoubleShunt ... #clinical #pocus

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