{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:16Z","timestamp":1756375816292,"version":"3.44.0"},"reference-count":35,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 38-year-old man admitted to emergency department with 2\u2005h of typical substernal chest pain, shortness of breath and nausea. The ECG revealed sinus rhythm with a 3\u2005mm ST elevation in precordial leads V1\u2013V6. The coronary angiography revealed acute total occlusion in left anterior descending artery (LAD) with normal circumflex and right coronary artery (RCA) along with bilateral fistulas arising from the proximal LAD and ostial RCA draining into the main pulmonary artery. Therefore, primary percutaneous coronary intervention and bare metal stent implantation was performed to culprit LAD lesion. The electrocardiographically gated 64-slice multidetector-row CT showed two large, tortuous abnormal vessels which arose from the both ostial part of the RCA and LAD draining into the main pulmonary artery. We report an unusual case of bilateral coronary artery to pulmonary artery fistulas leading to acute anterior myocardial infarction in a middle-aged male patient.<\/jats:p>","DOI":"10.1136\/bcr-2012-006998","type":"journal-article","created":{"date-parts":[[2012,11,14]],"date-time":"2012-11-14T05:33:01Z","timestamp":1352871181000},"page":"bcr2012006998","source":"Crossref","is-referenced-by-count":2,"title":["The primary percutaneous coronary intervention for acute anterior myocardial infarction in a middle-aged male patient with bilateral coronary artery to pulmonary artery fistulas"],"prefix":"10.1136","volume":"2012","author":[{"given":"Servet","family":"Altay","sequence":"first","affiliation":[{"name":"Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huseyin Altug","family":"Cakmak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalcin","family":"Velibey","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betul","family":"Erer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,11,14]]},"reference":[{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.1","first-page":"299","article-title":"Surgical treatment of coronary artery anomalies report of a 37.5: year experience at the Texas Heart Institute","volume":"29","author":"Reul","year":"2002","journal-title":"Tex Heart Inst J"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.2","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1161\/01.CIR.14.5.800","article-title":"Anomalies of the coronary arteries and their clinical significance","volume":"14","author":"Alexander","year":"1956","journal-title":"Circulation"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.3","doi-asserted-by":"crossref","first-page":"438","DOI":"10.4070\/kcj.2002.32.5.438","article-title":"A case of coronary arteriovenous fistula from diagonal branch of left anterior descending coronary artery to left ventricle","volume":"32","author":"Choi","year":"2002","journal-title":"Korean Circ J"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.4","doi-asserted-by":"publisher","DOI":"10.1023\/B:CAIM.0000004261.56315.f5"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.5","first-page":"225","article-title":"Ueber den Ursprungeinerakzessorischen, A.coronariaaus der A.pulmonalis","volume":"24","author":"Krause","year":"1865","journal-title":"Z Ratl Med"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.6","first-page":"437","article-title":"Coronary artery fistulas in an adult population","volume":"7","author":"Gillibert","year":"1986","journal-title":"Eur Heart J"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000016175.49835.57"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.8","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.9","first-page":"384","article-title":"Three cases of coronary to pulmonary arterial fistulae combined with valvular disease","volume":"49","author":"Iida","year":"1996","journal-title":"Kyobu Geka"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.10","first-page":"117","article-title":"Coexistent mitral stenosis and coronary artery fistula presenting as myocardial ischemia: case report","volume":"13","author":"Lin","year":"1997","journal-title":"Kaohsiung J Med Sci"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.11","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1161\/01.CIR.58.1.25","article-title":"Hemodynamically significant primary anomalies of the coronary artery","volume":"58","author":"Levin","year":"1978","journal-title":"Circulation"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.02.040"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.13","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(86)90030-X"},{"key":"2025082802453096000_2012.nov13_1.bcr2012006998.14","unstructured":"Perloff JK . 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