Article Text

  1. Jesus G Mirelis1,2,
  2. Esther Gonzalez Lopez1,
  3. Miguel A Cavero1,
  4. Luis Alonso-Pulpon1
  1. 1Cardiology Department, Puerta de Hierro Majadahonda Univesitary Hospital, Majadahonda, Madrid, Spain
  2. 2Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
  1. Correspondence to Dr Jesus G Mirelis, Puerta de Hierro Majadahonda Universitary Hospital, Manuel de Falla, 1, Majadahonda, Madrid 28222, Spain; jesus.gmirelis{at}

Statistics from

A 48-year-old asymptomatic male, presented with mild elevation of transaminases and incidentally a basal oxygen saturation of 91% was registered. To rule out right to left shunting, the patient underwent a transoesophageal echocardiography. Initially, an intravenous cannula positioned on the left arm was used to inject agitated saline contrast. Unexpected opacification of the left atrium was observed (figure 1, online supplementary …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.