Surgical treatment of multiple coronary-to-pulmonary artery fistulas with severe coronary artery stenosis

  • Shingo Kunioka
  • Hiroto KitaharaEmail author
  • Seima Ohira
  • Yuki Tada
  • Nobuyuki Akasaka
  • Hiroyuki Kamiya
Case Report


A coronary artery fistula (CAF) is an abnormal connection between a coronary artery and a cardiac chamber or a great vessel. CAF draining into the main pulmonary artery, called coronary-to-pulmonary artery fistula (CPAF), is one of the common variations of CAF. Although there is no definitive surgical indication of CPAF, it is treated concomitantly during other cardiac surgeries. Here, we present the case of a patient who underwent surgical closure of multiple CPAFs and coronary artery bypass grafting under cardiopulmonary bypass.


Coronary artery fistula Coronary–pulmonary artery fistula Coronary artery bypass grafting 




Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© The Japanese Association for Thoracic Surgery 2019

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgerySteel Memorial Muroran HospitalMuroranJapan
  2. 2.Department of Cardiac SurgeryAsahikawa Medical UniversityAsahikawaJapan

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