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Prenatal diagnosis of a coronary-to-pulmonary artery fistula in a fetus with pulmonary atresia and ventricular septal defect
  1. Ryo Ishii,
  2. Hidekazu Ishida,
  3. Jun Narita and
  4. Keiichi Ozono
  1. Department of Pediatrics, School of Medicine Graduate School of Medicine, Osaka University, Suita, Osaka, Japan
  1. Correspondence to Dr Ryo Ishii; i-ryo{at}ped.med.osaka-u.ac.jp

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.

  • Congenital disorders
  • Neonatal and paediatric intensive care

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Footnotes

  • Contributors RI contributed to research, writing and editing . HI, JN and KO contributed to overall guidance, direction and editing. All authors read, edited and approved the final document prior to submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.