Prenatal diagnosis of coronary artery fistula: A case report and review of literature

Mohamed Nagiub, Deemah Mahadin, Srinath Gowda, Sanjeev Aggarwal

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish
Pages (from-to)e83-e86
JournalAJP Reports
Volume4
Issue number2
DOIs
StatePublished - May 12 2014

Keywords

  • coronary artery fistula
  • heart failure
  • prenatal diagnosis

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