Zhao Leisheng, Wang Yu, Wang Meilian, Sun Xue, Ma Jianing, Li Jingjing, Zhang Ying
Department of Sonography, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Microbiology and Parasitology, College of Basic Medical Sciences, China Medical University, Shenyang, China.
Echocardiography. 2019 May;36(5):1009-1013. doi: 10.1111/echo.14340. Epub 2019 Apr 19.
Coronary artery fistula (CAF) is a rare malformation and is seldom reported during pregnancy. Right coronary artery fistula commonly drains into the right ventricle, right atrium, or pulmonary artery. We describe here a rare case of fetal CAF draining into the left ventricle using cross-sectional and color Doppler echocardiography. We also summarized our experience in the diagnosis of this uncommon malformation, in which tracing the origin, course, and outlet of the abnormal intra-cardiac flow played a key role.
冠状动脉瘘（CAF）是一种罕见的畸形，孕期很少有报道。右冠状动脉瘘通常引流至右心室、右心房或肺动脉。我们在此描述一例罕见的胎儿冠状动脉瘘经横断面及彩色多普勒超声心动图检查发现引流至左心室的病例。我们还总结了诊断这种罕见畸形的经验，其中追踪异常心内血流的起源、走行及出口起着关键作用。
