Abstract
BACKGROUND: Coronary artery fistulas are rare congenital or acquired coronary artery anomalies that can originate from any of the three major coronary arteries and drain into all the cardiac chambers and great vessels. METHODS (CASE REPORT): A 67-year-old male patient administered to the emergency department with a severe unstable angina pectoris. Patient underwent a three-vessel coronary artery bypass graft surgery, liga-clip occlusion of coronary artery to pulmonary artery fistula and a direct diagnostic punch biopsy from the left hilar mass lesion. RESULTS: No complications were encountered postoperatively. The patient was discharged on postoperative day eleven with a referral to the thoracic surgery department for further treatment of his lung tumor. CONCLUSIONS: In this report we present successful combination of an urgent coronary artery bypass graft operation in acute anterior myocardial infarction status with concomitant pathologies of congenital right coronary artery to main pulmonary artery fistula and left hilar mass lesion of the lung.
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