Transpulmonary contrast agents are used to opacify left heart chambers, e.g. for
enhancement of left ventricular endocardial border definition. Difficult Doppler
signals can also be enhanced with echocardiographic contrast agents.
Right sided contrast agents are used to exclude shunts, e.g. patent foramen ovale.
More on myocardial contrast echocardiography can be found
here.
Transpulmonary echocardio- graphic contrast agents
will be used, e.g. in case of poor ultrasound image quality, as shown in this case, to enhance assessment of the
lateral wall of the left ventricle.
Right sided contrast agents
are very useful in the depiction of intracardiac shunt. In this exam- ple, a large ASD
can be seen showing a clear negative contrast effect (arrow).