Aorta to Right Atrial Tunnel with Postnatal Transcatheter Treatment

An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no...

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Bibliographic Details
Published inJournal of fetal medicine Vol. 3; no. 4; pp. 175 - 177
Main Authors Chidambarathanu, Shanthi, Raja, Vijayalakshmi, Suresh, Indrani, Sivakumar, Kothandam
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.12.2016
Thieme Medical and Scientific Publishers Pvt. Ltd
Subjects
Brief Communication
Diagnostic Radiology
Maternal and Child Health
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Reproductive Medicine
Ultrasound
Fetal echocardiography
Coronary artery-right atrial fistula
Transcatheter occlusion
Aorta to right atrial tunnel
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Summary:An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no other fetal anomaly and the cardiac hemodynamics remained stable throughout pregnancy. Postnatally, there was a progressive enlargement of the tunnel that led to a decision for intervention. Aortography showed an anterior aorta to right atrial tunnel, which was occluded in the catheterization laboratory. We describe in this report, the antenatal findings noted in ultrasound imaging along with the postnatal presentation and management of this rare congenital anomaly.
ISSN:2348-1153
2348-8859
DOI:10.1007/s40556-016-0102-2