Continued from previous Case.
You bring your patient back to clinic after testing. She tells you she may have had a TIA a few years ago, and that she was recently diagnosed with iron deficiency anemia.
2D ECHO with bubble study reveals bubbles in left ventricle within 1 cardiac cycle (almost immediately)
Her ABG on 100% (at sea level) reveals: pH 7.4 pCO 45 paO2 250
Calculate her shunt fraction.
CT thorax with contrast reveals an oval, smooth bordered 1cm nodule with a feeding artery of 3mm.
What do you recommend next?
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