Saphenous Vein Graft from Aorta to Coronary Vein with Production of Continuous Murmur: A Complication of Coronary Artery Bypass Surgery

A saphenous vein graft was inadvertently placed from the aorta to the coronary vein adjacent to the proximal left anterior descending coronary artery in a 53-year-old man with symptomatic coronary artery disease. The postoperative finding of a continuous murmur led to cardiac catheterization and successful surgical correction. The postoperative finding of a continuous murmur must alert the clinician to this possible technical error.