PFO’s are associated w cryptogenic stroke: here’s a thrombus... in transit through a PFO h/t @Bertolin_Car PFO size,R-L shunt grade, length(long-tunneled PFO), ASA,Chiari's ⬆️stroke risk by flow deceleration,🩸stagnation/thrombi formation w/in PFO #echofirstshow more

Do you believe in PFO study using TTE?? Agitated... gelafundin massive R-L shunt through PFO in young patient with unexplained headaches and stroke. Cx coming from RC sinus with a retroaortic location (RAC sign) 🫧🫧show more

Have u ever seen #ASD & #PFO together? 😯🤝... 58👨 w/ cryptogenic #CVA, another TIA, horrible #migraines #TEE ➡️ both ostium secundum ASD & large PFO w/ aneurysmal IAS👇 #EchoFirst ➰How would u manage? 1/🧵 #CardioTwitter #ACCFIT #MedTwitter BCM Cardiology #ACCEarlyCareer American Society of Echocardiographyshow more

A 34 yr female was referred to us as... Primary PH with R-> L shunt through PFO -> cyanosis.On clinical exam she had long systolic murmur in back which is unusual in PPHN. It finally turned out as Multiple peripheral PS. MESSAGE IS “TR JET VELOCITY GIVES RV PRESSURE NOT PA PRESSURE”show more

What is the diagnosis? 1. PFO 2. Secundum ASD... 3. Persistent left SVC 4. Sinus venous ASD 5. Extra cardiac shunt Clip 1: bubble study Clip 2. Second injection of bubbles OHSU Cardiology Fellowshipshow more

L I T E R A L L Y... W H E E Z I N Gshow more

L I T E R A L L Y... W H E E Z I N Gshow more

L I T E R A L L Y... W H E E Z I N Gshow more

R A W S A L E R T... S he’s covering up, he knows he’s not at riskshow more

Heaps of best wishes for Raksha Bandhan B r... o t h e r, m y o n l y p r a y e r t o G o d i s t h a t y o u r l i f e a l w a y s r e m a i n s f i l l e d w i t h h a p p i n e s s, you find success at every step, and you achieve great progress. 😊✨ Mata Parvati Grokshow more

S I R L E W I S H... A M I L T O N 🔥show more

R A W S A L E R T... S A better view.show more

Hail, hail Mother Mahalakshmi! H a i l M... o t h e r L a k s h m i, b y w h o s e g r a c e h a p p i n e s s, p r o s p e r i t y a n d u n b r o k e n g o o d f o r t u n e s h o w e r u p o n t h e h o m e a n d c o u r t y a r d O Grokshow more

Hail, hail Mother Mahalakshmi! H a i l M... o t h e r L a k s h m i, b y w h o s e g r a c e h a p p i n e s s, p r o s p e r i t y a n d u n b r o k e n g o o d f o r t u n e s h o w e r u p o n t h e h o m e a n d c o u r t y a r d O Mother Lakshmi,seated on🙌 Grokshow more

Hail,hail Maa Mahalakshmi! H a i l M o... t h e r L a k s h m i, b y w h o s e g r a c e h a p p i n e s s, p r o s p e r i t y a n d u n b r o k e n g o o d f o r t u n e s h o w e r u p o n t h e h o m e a n d c o u r t y a r d O Mother Lakshmi,seated on the lotus Grokshow more

Hail, hail maa Mahalakshmi! H a i l M... o t h e r L a k s h m i, b y w h o s e g r a c e h a p p i n e s s, p r o s p e r i t y a n d u n b r o k e n g o o d f o r t u n e s h o w e r u p o n t h e h o m e a n d c o u r t y a r d O Maa Lakshmi, seated on the lotus, Grokshow more

Teri sada hi Jay Ho Hanuman 🚩 I s... e e k n e i t h e r f a m e n o r f o r t u n e n o r g l o r y a t a l l I only want the nectar of Ram’s name🚩 I o n l y w a n t t h e n e c t a r o f R a m’ s n a m e Grok Jay Jay shree Ram Jay Jay Hanumanshow more

R A W S A L E R T... S Crazy ! No wonder it looked like a missile.show more