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Movie clip 1: Pink arrow points at the free flow of saline-red cell contrast across PFO during release phase of "sigh" on the respirator in a patient in whom several prior saline-red cell contrast studies had been negative including "sigh" phase on the respirator.

Movie clip 2: Mid-transesophageal TEE view demonstrating an aneurymal interatrial septum and R to L flow on color Doppler during inspiratory phase when interatrial bulges to the L allowing PFO channel to open up.

Movie clip 3: Midtransesophageal TEE three-chamber view. Color Doppler shows prominent systolic flow across the aortic root-interventricular septal junction into a fistula posterior to aorta that communicated with the R atrium. Prominent R to L flow across PFO is shown anterior to aorta.

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FilenameFormatSizeDescription
ECHO_1165_sm_Video1.avi13516KSupporting info item
ECHO_1165_sm_Video2.avi9144KSupporting info item
ECHO_1165_sm_Video3.avi619KSupporting info item

Please note: Wiley Blackwell is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.