Apparent obstruction of the superior vena cava and a continuous murmur: signs of a fistula between a vein graft aneurysm and the right atrium.
A previously undescribed complication of a saphenous vein aortocoronary bypass graft, namely formation of a fistula between a vein graft aneurysm and the right atrium is reported. A patient presented with a continuous murmur and a combination of signs suggesting superior vena cava obstruction. This pathology was shown by both echocardiography and angiography. Surgical treatment was attempted.
Richardson
M P
MP
Cardiac Unit, Papworth Hospital, Cambridge.
Thuraisingham
S I
SI
Dunning
J
J
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005402:Fistula / Q000209:etiology*; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006325:Heart Atria; D006337:Heart Murmurs / Q000209:etiology; D006801:Humans; D008297:Male; D013479:Superior Vena Cava Syndrome / Q000209:etiology*