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Prenatal diagnosis of tetralogy of Fallot associated with a fistula from the left coronary artery to the left atrium

Published online by Cambridge University Press:  18 April 2005

Mohammed D. Khan ,
Sivasankaran Sivasubramonian  and
John M. Simpson
Mohammed D. Khan
Affiliation:
Department of Congenital Heart Disease, Guy's Hospital, London, UK
Sivasankaran Sivasubramonian
Affiliation:
Department of Congenital Heart Disease, Guy's Hospital, London, UK
John M. Simpson
Affiliation:
Department of Congenital Heart Disease, Guy's Hospital, London, UK
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Abstract

In a fetus at 20 weeks gestation, we found a large fistula from the left coronary artery to the left atrium in association with tetralogy of Fallot. Postnatally, the therapeutic issues were complex because of prematurity, low birth weight, decreased flow of blood to the lungs, and volume overload of the left ventricle because of the huge fistula. At three months, the baby underwent repair of tetralogy of Fallot, with surgical ligation of the fistula, but the baby died postoperatively.

Keywords

Echocardiographyfetal heartprematurity
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 2 , April 2003 , pp. 194 - 196
Copyright
© 2003 Cambridge University Press

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