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AJP Rep 2014; 04(02): e83-e86
DOI: 10.1055/s-0034-1386636
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prenatal Diagnosis of Coronary Artery Fistula: A Case Report and Review of Literature

Mohamed Nagiub
1   Division of Cardiology, Children Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia
,
Deemah Mahadin
2   Division of Cardiology, Carman and Ann Adams Department of Pediatrics, and Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan
,
Srinath Gowda
2   Division of Cardiology, Carman and Ann Adams Department of Pediatrics, and Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan
,
Sanjeev Aggarwal
2   Division of Cardiology, Carman and Ann Adams Department of Pediatrics, and Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan
› Author Affiliations
Further Information

Publication History

31 March 2014

13 June 2014

Publication Date:
21 August 2014 (online)

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Abstract

We report an antenatally diagnosed large distal coronary artery fistula (CAF) arising from an aneurysmal dilation right coronary artery (RCA) and draining in to the right ventricle (RV) just below the septal leaflet of tricuspid valve posteriorly. A postnatal echocardiogram confirmed the diagnosis. On the second day of life, a percutaneous partial closure of the fistula was performed by placing a Flipper coil (Cook Medical, Bloomington, IN) in the RCA just proximal to the drainage site in the cardiac catheterization laboratory. Follow-up echocardiogram on the day following the procedure showed improved forward flow in the descending aorta with decreased RV size. Our case report suggests that antenatal diagnosis of a CAF may aid in early intervention. Partial closure of the fistula in the cardiac catheterization laboratory is safe and effective.

Keywords

prenatal diagnosis - coronary artery fistula - heart failure

Notes

The institution at which the work was performed was Children's Hospital of Michigan, Detroit, MI.


 

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