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Saphenous vein coronary bypass graft aneurysm with fistula to right atrium demonstrated on dynamic-volume 320-slice computed tomography
  1. Brian Ko,
  2. Andrew Cochrane,
  3. Sujith Seneviratne
  1. Correspondence to Sujith Seneviratne; sujith.seneviratne{at}southernhealth.org.au

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A 79-year-old male with a history of mechanical aortic valve replacement and concomitant saphenous vein grafting (SVG) to the left anterior descending (LAD) artery and right coronary artery (RCA) 23 years earlier, was investigated for exertional angina and a new continuous murmur.

Three-hundred-and-twenty-slice dynamic volume computed tomography (CT) (figure 1, online video 1) demonstrated aneurysmal dilatation of the RCA SVG with a patent distal RCA beyond the anastomosis. An RCA SVG to right …

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