Classic timing criterion to distinguish an intracardiac (PFO/ASD) vs. extracardiac shunt on a TTE bubble study
Within 3 cardiac cycles of right heart opacification
Classic timing criterion to distinguish an Extracardiac (Pulmonary Shunt/PAVM) vs. intracardiac shunt on a TTE bubble study
after 3–5 cardiac cycles
Number of bubbles that define a high-risk PFO for stroke recurrence
> 20–30 bubbles in the LA
Atrial Septal Aneurysm definition
Septal excursion 10 mm from the midline
Mechanism of Valsalva maneuver for PFO evaluation