A rare combination of left main coronary artery fistula to main pulmonary artery with severe left main coronary artery disease in a 69-year-old man

Heart Surg Forum. 2009 Jun;12(3):E180-1. doi: 10.1532/HSF98.20091030.


A 69-year-old man was referred to our hospital with a diagnosis of non-ST elevation myocardial infarction. A selective left coronary angiography revealed a fistula connecting the left main coronary artery with the pulmonary artery in addition to severe left main coronary artery disease. The patient subsequently underwent ligation of fistulae and coronary bypass grafting. The combination of a fistula and severe artery disease seen in this patient is unusual because fistulas originating from the left main coronary artery drain into the pulmonary artery in patients with severe left main coronary artery disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arterio-Arterial Fistula / complications*
  • Arterio-Arterial Fistula / surgery*
  • Coronary Artery Bypass
  • Coronary Artery Disease / complications*
  • Coronary Artery Disease / surgery*
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / surgery*
  • Coronary Vessels / surgery
  • Humans
  • Male
  • Plastic Surgery Procedures
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / surgery*
  • Rare Diseases / complications
  • Rare Diseases / surgery
  • Treatment Outcome