Four-chamber view of contrast echocardiography using agitated saline, showing microbubbles opacifying the left heart five beats after they were seen in.

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Four-chamber view of contrast echocardiography using agitated saline, showing microbubbles opacifying the left heart five beats after they were seen in the right heart. Four-chamber view of contrast echocardiography using agitated saline, showing microbubbles opacifying the left heart five beats after they were seen in the right heart. LA = left atrium, LV = left ventricle. See also videos online at www.cmaj.ca/cgi/content/full/cmaj.090576/DC1. Chih-Hsin Lee, and Shih-Tsung Cheng CMAJ 2011;183:80 ©2011 by Canadian Medical Association