A stroke patient with supracristal ventricular septal defect accompanying suspected patent foramen ovale underwent transthoracic and transesophageal echocardiography with agitated saline microbubble study, a positive trans-ventricular microbubble jet after Valsalva maneuver provocation was detected, indicating instantaneous transient paradoxical right-to-left shunt at late diastole might be the etiology of embolic events. ().
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10107004 | PMC |
| http://dx.doi.org/10.1016/j.jaccas.2023.101782 | DOI Listing |
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