Prenatal diagnosis of fetal isolated right coronary artery to left ventricle fistula

Echocardiography. 2019 May;36(5):1009-1013. doi: 10.1111/echo.14340. Epub 2019 Apr 19.

Abstract

Coronary artery fistula (CAF) is a rare malformation and is seldom reported during pregnancy. Right coronary artery fistula commonly drains into the right ventricle, right atrium, or pulmonary artery. We describe here a rare case of fetal CAF draining into the left ventricle using cross-sectional and color Doppler echocardiography. We also summarized our experience in the diagnosis of this uncommon malformation, in which tracing the origin, course, and outlet of the abnormal intra-cardiac flow played a key role.

Keywords: coronary artery fistula; echocardiography; fetus; prenatal diagnosis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Echocardiography, Doppler, Color / methods*
  • Female
  • Fetal Heart / abnormalities
  • Fetal Heart / diagnostic imaging
  • Fistula / diagnostic imaging*
  • Fistula / embryology*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Infant, Newborn
  • Male
  • Pregnancy
  • Ultrasonography, Prenatal / methods*