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Prenatal diagnosis of ventriculocoronary arterial fistula in a fetus with hypoplastic left heart syndrome and aortic atresia
Author(s) -
Chaoui R.,
Tennstedt C.,
Göldner B.
Publication year - 2002
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2002.00727.x
Subject(s) - medicine , hypoplastic left heart syndrome , cardiology , fetus , atresia , autopsy , ventricle , fistula , left coronary artery , obstetrics and gynaecology , artery , heart disease , surgery , pregnancy , biology , genetics
In a fetus with a hypoplastic left heart syndrome detected at 26 weeks' gestation, a communication between the left ventricular cavity and the left coronary artery was detected using color Doppler. Bidirectional flow was demonstrated and the ventricle was shown to be filled via the fistula during diastole. After premature birth at 31 weeks and neonatal death, autopsy confirmed the findings. Because the association of a heart defect with ventriculocoronary communications worsens the neonatal prognosis, it should be ruled out in fetuses with hypoplastic left heart syndrome before parents are counseled. Copyright © 2002 International Society of Ultrasound in Obstetrics and Gynecology