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Aorta to Right Atrial Tunnel with Postnatal Transcatheter Treatment

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Journal of Fetal Medicine

Abstract

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.

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Authors and Affiliations

  1. Fetal Cardiology Unit, Mediscan Systems, No. 197, Dr. Natesan Road, Mylapore, Chennai, 600004, India

    Shanthi Chidambarathanu

  2. Fetal Medicine Unit, Mediscan Systems, Mylapore, Chennai, India

    Vijayalakshmi Raja

  3. Fetal Cardiology and Fetal Medicine Unit, Mediscan Systems, Mylapore, Chennai, India

    Indrani Suresh

  4. Institute of Cardio Vascular Diseases, Madras Medical Mission, Mogappair, Chennai, India

    Kothandam Sivakumar

Authors
  1. Shanthi Chidambarathanu
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  2. Vijayalakshmi Raja
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  3. Indrani Suresh
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  4. Kothandam Sivakumar
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Corresponding author

Correspondence to Shanthi Chidambarathanu.

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Summary Statement

Parents of the child described in this case have given informed written consent for publication.

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Chidambarathanu, S., Raja, V., Suresh, I. et al. Aorta to Right Atrial Tunnel with Postnatal Transcatheter Treatment. J. Fetal Med. 3, 175–177 (2016). https://doi.org/10.1007/s40556-016-0102-2

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  • DOI: https://doi.org/10.1007/s40556-016-0102-2

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