Man pocus a4c msk s4c collateral thrombus cardiac contrast clinical bubble shunting 2 clots saline

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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

(2) Lvef 25-30% ... (4) All 4 cardiac ... (5) Layered clot ... #cardiology #a4c ... #thrombus

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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 ... = PFO 2. ... PVeins (extra-cardiac ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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