Coronary Artery Fistula in Down Syndrome: A Hidden Association

Fetal valproate syndrome with coronary arteriovenous fistula: a case report

Interestingly, our case presenting with coronary AV fistula firstly reported in the literature with fetal valproate syndrome. Although differential diagnosis is sometimes difficult, it can be diagnosed with detailed history, physical examination and appropriate laboratory tests. Fetal valproate syndrome can be prevented by discontinue of the valproic acid especially during first trimester of pregnancy.