Prenatal diagnosis of a coronary-to-pulmonary artery fistula in a fetus with pulmonary atresia and ventricular septal defect

Ryo Ishii; Hidekazu Ishida; Jun Narita; Keiichi Ozono

doi:10.1136/bcr-2022-249271

Prenatal diagnosis of a coronary-to-pulmonary artery fistula in a fetus with pulmonary atresia and ventricular septal defect

BMJ Case Rep. 2022 Jun 22;15(6):e249271. doi: 10.1136/bcr-2022-249271.

Authors

Ryo Ishii¹, Hidekazu Ishida², Jun Narita², Keiichi Ozono²

Affiliations

¹ Department of Pediatrics, School of Medicine Graduate School of Medicine, Osaka University, Suita, Osaka, Japan i-ryo@ped.med.osaka-u.ac.jp.
² Department of Pediatrics, School of Medicine Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

PMID: 35732357
PMCID: PMC9226865 (available on 2024-06-21)
DOI: 10.1136/bcr-2022-249271

Abstract

Pulmonary atresia and ventricular septal defect (PA/VSD) demonstrate a wide variety of pulmonary and coronary artery abnormalities; additionally, coronary-to-pulmonary artery fistula (CPAF) is a rare manifestation of PA/VSD and is seldom detected during pregnancy. In this report, we present a case of prenatal diagnosis of CPAF in PA/VSD and impactful images in a neonate, which were obtained using fetal echocardiography and postnatal electrocardiography-gated 320-row CT. Prenatal diagnosis of CPAF can facilitate the provision of better therapeutic strategies after birth.

Keywords: Congenital disorders; Neonatal and paediatric intensive care.

Publication types

Case Reports

MeSH terms

Coronary Artery Disease*
Female
Fetus
Fistula*
Heart Septal Defects, Ventricular* / diagnostic imaging
Humans
Infant, Newborn
Pregnancy
Prenatal Diagnosis
Pulmonary Artery / abnormalities
Pulmonary Artery / diagnostic imaging
Pulmonary Atresia* / diagnostic imaging