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Abstract
Fistulous communication of the coronary arteries with the pulmonary arteries in adults is a common type of coronary artery fistula [1–3]. In most reported cases, the fistula usually arise from the proximal left and/or right coronary arteries via the anterior conal branches that connect to the anterior wall of the main pulmonary artery. These anteriorly located abnormal communications are usually asymptomatic and are incidentally found during transcatheter or CT angiography (CTA) of the coronary arteries in 0.2–0.3% of studies [1,2].
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