Hypoplastic left heart syndrome associated with left ventricle-coronary artery-pulmonary artery fistula: Prenatal diagnosis and histological correlation

D. Paladini, G. Caruso, G. Sglavo, C. Lapadula, G. Parisi, P. Martinelli

Research output: Contribution to journalArticle

Abstract

We describe an unusual case of left ventricle-left coronary artery-pulmonary artery fistula associated with hypoplastic left heart syndrome (HLHS) and a ventricular septal defect, in which findings on echocardiography and histological analysis were correlated. The diagnosis was made at 22 weeks of gestation. We speculated that the presence of the fistula was the primary cause of the HLHS due to the existence of the ventricular septal defect that nullified the intraventricular pressure gradient, which is typical of hypoplastic ventricles and thought to be responsible for the secondary development of fistulas in other cases.

Original languageEnglish
Pages (from-to)78-80
Number of pages3
JournalUltrasound in Obstetrics and Gynecology
Volume26
Issue number1
DOIs
Publication statusPublished - Jul 2005

Keywords

  • Coronary fistula
  • Fetus
  • Histology
  • Hypoplastic left heart syndrome
  • Prenatal diagnosis
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Acoustics and Ultrasonics

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