TY - JOUR
T1 - Prenatal diagnosis of coronary artery fistula
T2 - A case report and review of literature
AU - Nagiub, Mohamed
AU - Mahadin, Deemah
AU - Gowda, Srinath
AU - Aggarwal, Sanjeev
N1 - Publisher Copyright:
Copyright © 2014 by Thieme Medical Publishers, Inc.
PY - 2014/5/12
Y1 - 2014/5/12
N2 - 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.
AB - 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.
KW - coronary artery fistula
KW - heart failure
KW - prenatal diagnosis
UR - http://www.scopus.com/inward/record.url?scp=84911900637&partnerID=8YFLogxK
U2 - 10.1055/s-0034-1386636
DO - 10.1055/s-0034-1386636
M3 - Article
AN - SCOPUS:84911900637
SN - 2157-6998
VL - 4
SP - e83-e86
JO - AJP Reports
JF - AJP Reports
IS - 2
ER -