TY - EJOU AU - Ghayum, Mohamed Aashiq Abdul AU - Kiaffas, Maria AU - Warta, Ashley AU - Kathol, Melanie AU - Mundy, David C. AU - Brattrud, Kelsey AU - Madan, Nitin TI - Case Report: Prominent Coronary Artery Flow in Fetuses with Congenital Heart Disease, Is It a Marker of In Utero Distress? T2 - Structural and Congenital Heart Disease PY - 2024 VL - 19 IS - 6 SN - 3071-1738 AB - 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. KW - Prominent coronary artery flow; heart sparing; fetal distress DO - 10.32604/chd.2025.058271