ssri+pocus+msk+a4c+atrial varus left 1: contrast atrium effect dilated doubleshunt rheumatic thrombus

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

Echocardiogram (1) ... cardiac chambers dilated ... spontaneous echo contrast ... (7) patient in atrial ... #thrombus

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

as RAP>LAP as atrial ... septum shifts left ... In addition to dilated ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary

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