Woltman a4c thrombus transverse atrial pocus apical arterial septal bubble cardiac lv av 1: 2

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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 ... septum shifts left ... PVeins (extra-cardiac ... #a4c #intrapulmonary

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