clinical cardiology differential photo nejm pocus valve s4c cardiac a4c rv mitral afib pulmonary 1:

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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 ... dysfunctional RV ... PVeins (extra-cardiac ... #pocus #a4c #intrapulmonary ... #cardiology #saline

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