Continuous precordial murmur due to congenital fistula between the femoral artery and the superior vena cava.
An unusual case of arteriovenous communication between the left inferior epigastric artery, a branch of the femoral artery, and the superior vena cava is presented. The communication caused a continuous murmur at the lower parasternal area and was responsible for a significant left-to-right shunt. Surgical treatment, which consisted of ligation of the aberrant artery at its origin, was followed by disappearance of the precordial murmur.
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications*; D001314:Auscultation; D005260:Female; D005263:Femoral Artery; D006326:Heart Auscultation; D006337:Heart Murmurs; D006801:Humans; D014683:Vena Cava, Superior