Copyright
©2013 Baishideng. All rights reserved.
World J Clin Cases. Apr 16, 2013; 1(1): 28-30
Published online Apr 16, 2013. doi: 10.12998/wjcc.v1.i1.28
Published online Apr 16, 2013. doi: 10.12998/wjcc.v1.i1.28
Saphenous graft on transesophageal echocardiogram masquerading as an abnormal vascular communication into the right atrium
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
Author contributions: Cao L, Farooqui MA, Wood W, Cahill J and Movahed A contributed to the manuscript writing and revision.
Supported by The “East Carolina Heart Institute”
Correspondence to: Assad Movahed, MD, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, 115 Heart Drive, Mail Stop 651, Greenville, NC 27858, United States. movaheda@ecu.edu
Telephone: +1-832-3731447 Fax: +1-252-7447724
Received: October 27, 2012
Revised: December 18, 2012
Accepted: January 29, 2013
Published online: April 16, 2013
Revised: December 18, 2012
Accepted: January 29, 2013
Published online: April 16, 2013
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.