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ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast Male , 50y/o, previous anterior MI with dyspnea, pretibial oedema - ASD secundum Dr. Milica Stefanovic @MilicicaStefano #ASD #Secundum #Shunting #Echocardiogram #clinical #cardiology #pocus #a4c #contrast #Bidirectional