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  • Apparent obstruction of the superior vena cava and a continuous murmur: signs of a fistula between a vein graft aneurysm and the right atrium

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Case Reports
Apparent obstruction of the superior vena cava and a continuous murmur: signs of a fistula between a vein graft aneurysm and the right atrium
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  1. Mark P Richardson,
  2. Surendran I Thuraisingham,
  3. John Dunning
  1. Cardiac Unit, Papworth Hospital, Cambridge
  2. Cardiothoracic Surgical Unit, Papworth Hospital, Cambridge

    Abstract

    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.

    http://dx.doi.org/10.1136/hrt.68.10.412

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