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The density of the echogenic material passing through the right side of the heart correlates with the degree of reduction in arterial oxygen saturation. Repeated showers of emboli have been noted to increase right heart and pulmonary artery pressures. Embolization of what are trans fatty acids marrow contents through patent foramen ovale also has been noted. However, evidence of embolization by means of TEE is not correlated with the actual development of FES.Procedures: Bronchoalveolar lavage (BAL) with staining of alveolar macrophages for fatBAL specimens have been evaluated in trauma patients and what are trans fatty acids sickle cell patients with acute chest syndrome, and the results have been mixed.Lipid what are trans fatty acids inclusions commonly appear in patients with traumatic and nontraumatic respiratory failure; the standard cut-off of 5% fat-containing macrophages in the BAL studies results in a low specificity for the test.
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