Introduction
Patients with pulmonary atresia and ventricular septal defect (PA/VSD)
show a variety of pulmonary and coronary artery anatomies [1].
Additionally, a coronary pulmonary artery fistula (CPAF) occurs in
<10% of patients with PA/VSD [2]. Various types of CPAF
associated with PA/VSD have been reported, however, to the best of our
knowledge, there is no report of prenatal diagnosis of CPAF with PA/VSD,
probably due to the rarity of the condition and the technical difficulty
of the imaging method. In this report, we demonstrated clear images of
CPAF associated with PA/VSD using fetal echocardiography and confirmed
the exact morphology of CPAF in a neonate using electrocardiography
(ECG)-gated 320-row computed tomography (CT) in neonate.