When agitated saline is injected into the venous system, it opacifies the right atrium and ventricle. None should make it through to the left side of the heart. If bubbles appear on the left
immediately, it is indicative of an intracardiac shunt, while bubble that appear within a few heartbeats are consistent with an intrapulmonary shunt. Neither are seen in this TTE loop.
This patient has severe tricuspid regurgitation and severe clinical right sided heart failure. Without color doppler you can see how the valve leaflets do not coapt. Is the regurgitation due to the RV
lead across the tricuspid?
4 chamber apical transthoracic loop of a patient with a thickened interatrial septum consistent with lipomatous hypertrophy. Note the increased echodensity of the IA septum. LV function appears
normal.