Case Report: Prominent Coronary Artery Flow in Fetuses with Congenital Heart Disease, Is It a Marker of In Utero Distress?

Creator(s)

Mohamed Aashiq Abdul Ghayum, Children's Mercy Kansas CityFollow
Maria Kiaffas, Children's Mercy HospitalFollow
Ashley Warta, Children's Mercy Kansas CityFollow
Melanie Kathol, Children's Mercy HospitalFollow
David Christopher Mundy, Children's Mercy HospitalFollow
Kelsey Brattrud, Children's Mercy Kansas CityFollow
Nitin Madan, Children's Mercy Kansas CityFollow

Document Type

Article

Publication Date

1-2025

Identifier

DOI: 10.32604/chd.2025.058271

Abstract

Prominent coronary artery (CA) flow observed on a fetal echocardiogram has been associated with fetal growth restriction and myocardial dysfunction. We present two cases with this finding, in the presence of congenital heart disease (CHD) and absence of growth restriction or myocardial dysfunction. Both the cases rapidly progressed to extremis, necessitating emergent delivery. Our cases highlight the importance of recognizing prominent CA flow in fetuses with CHD as a potential marker for in utero distress.

Journal Title

Congenital Heart Disease

Volume

19

Issue

6

First Page

647

Last Page

651

Keywords

Prominent coronary artery flow; heart sparing; fetal distress

Comments

This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Publisher's Link: https://www.techscience.com/chd/v19n6/59400

Recommended Citation

Ghayum, M.A.A., Kiaffas, M., Warta, A., Kathol, M., Mundy, D.C. et al. (2024). Case report: prominent coronary artery flow in fetuses with congenital heart disease, is it a marker of in utero distress?. Congenital Heart Disease, 19(6), 647–651. https://doi.org/10.32604/chd.2025.058271