arterial pocus atrial pcl pulmonary algorithm a4c septal ultrasound septaldefect doubleshunt sign

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

liver disease and pulmonary ... as RAP>LAP as atrial ... septum shifts left ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary

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echo contrast material ... is the cardiac ultrasound ... described for Pulmonary ... #Clinical #POCUS ... Echocardiogram #Definity #A4C

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