Key result
Prenatal monitoring of a huge coronary fistula reveals progression to 11 mm and death at birth.
Case Report (n=1)
Prenatal monitoring of isolated coronary arterial fistulas is essential as they can progressively dilate and lead to severe complications or death at birth.
Rapid progression to death possible in fetal coronary fistulas; leaves open whether prenatal monitoring alters outcomes.
Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.
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Wacker‐Gussmann et al. (2018) conducted a case report in Isolated coronary arterial fistula (n=1). Prenatal diagnosis and monitoring by Doppler echocardiography was evaluated on Progression of the dilated fistula and clinical outcome. Prenatal monitoring of a huge coronary artery fistula revealed enormous size progression up to 11 mm, ultimately leading to death at birth.
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