| Prenatal diagnosis and perinatal management of left coronary artery to right atrium fistula. | |
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MedLine Citation:
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PMID: 12047543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Serious complications due to coronary artery fistulae have been described. Most authors recommend early intervention at the time of diagnosis. We present a case of a fistula originating from a dilated left coronary artery and draining into the right atrium, which was diagnosed prenatally by color Doppler echocardiography. During pregnancy, the echocardiographic findings remained unchanged, and there were no signs of heart failure. After birth, the fistula was confirmed by angiography. Additionally, a persistent left superior vena cava draining into the coronary sinus and a very small ventricular septal defect were detected. The fistula was closed successfully by transcatheter coil embolization. At 17 months old the child was in good clinical condition. Prenatal diagnosis of coronary artery fistulae may be possible and may improve perinatal management and outcome. |
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Authors:
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G Mielke; L Sieverding; T Borth-Bruns; K Eichhorn; D Wallwiener; U Gembruch |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Volume: 19 ISSN: 0960-7692 ISO Abbreviation: Ultrasound Obstet Gynecol Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-06-05 Completed Date: 2002-08-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9108340 Medline TA: Ultrasound Obstet Gynecol Country: England |
Other Details:
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Languages: eng Pagination: 612-5 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Tuebingen, Germany. grmielke@med.uni-tuebingen.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coronary Vessel Anomalies / therapy, ultrasonography* Echocardiography, Doppler, Color Embolization, Therapeutic Female Fistula / therapy, ultrasonography* Heart Atria Heart Defects, Congenital / therapy, ultrasonography* Humans Pregnancy Ultrasonography, Prenatal* |
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