title: Saphenous graft on transesophageal echocardiogram masquerading as an abnormal vascular communication into the right atrium.
abstract: An unknown aberrant flow in the right atrium observed on doppler with transesophageal echocardiogram (TEE) in a patient with prior coronary bypass. TEE revealed normal size left ventricle with severely dilated left atrium. There was moderate aortic regurgitation and moderate aortic stenosis noted. Patient was incidentally found to have an abnormal vascular communication noted to the right atrium. To further evaluate this finding, the patient underwent cardiac magnetic resonance angiography which revealed that the tubular structure noted on TEE was actually a graft that was abutting onto the coronary sinus, and the flow anomaly was really the graft coming up and running adjacent to the coronary sinus.
authors.affiliation: Long Cao, Mohammed Ataullah Farooqui, William Wood, John Cahill, Assad Movahed, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, Greenville, NC 27858, United States.
authors.forename: Long
authors.initials: L
authors.lastname: Cao
authors.forename: Mohammed Ataullah
authors.initials: MA
authors.lastname: Farooqui
authors.forename: William
authors.initials: W
authors.lastname: Wood
authors.forename: John
authors.initials: J
authors.lastname: Cahill
authors.forename: Assad
authors.initials: A
authors.lastname: Movahed
keywords: Communication; Echocardiogram; Magnetic resonance imaging; Saphenous vein graft; Vascular