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has been cited by the following article:

• TITLE: A Fistula between Coronary and Main Pulmonary Arteries with Chest Tightness

  AUTHORS: Masashi Kawabori, Atsushi Kurata

  KEYWORDS: Congenital, Coronary Aneurysm, Coronary Fistula, Angina

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.5 No.12, December 14, 2015

  ABSTRACT: A 64-year-old woman presented to our facility with recurrent chest tightness. Angiography showed a dilated (10 mm) aneurysmal tortuous coronary artery fistula (CAF) to the main pulmonary arterial trunk occupying a large area of the anterior surface of the aortic root. Left and right heart catheterization showed high left-to-right shunt flow. Fissurectomy and coronary artery bypass grafting were performed. The patient had no postoperative complications and became asymptomatic. The outcome of our case shows that CAF should be a differential diagnosis of recurrent symptomatic cardiac ischemia. Intervention is indicated if symptoms or secondary complications develop.