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Wellens syndrome is an ST-segment elevation myocardial infarction equivalent. Although both Wellens syndrome and CAFs have been reported in the literature, they have rarely been reported in the same patient. We herein report a case clinically diagnosed as Wellens syndrome by electrocardiography (ECG) findings; coronary angiography subsequently showed a fistula originating from the left anterior descending artery and draining into the pulmonary artery. The ECG findings then returned to normal after the fistula had been closed by controlled-release coils. These events confirmed that the abnormal ECG findings of Wellens syndrome were due to the CAF.<\/jats:p>","DOI":"10.1177\/0300060520911495","type":"journal-article","created":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T13:01:57Z","timestamp":1588338117000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Electrocardiographic findings of Wellens syndrome due to coronary artery\u2013pulmonary artery fistula"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6479-6189","authenticated-orcid":false,"given":"Dong-Feng","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Geriatric Cardiology, People\u2019s Hospital of Guangxi Zhuang Autonomous Region, Nanning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin-Xiong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Geriatric Cardiology, People\u2019s Hospital of Guangxi Zhuang Autonomous Region, Nanning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0073-1471","authenticated-orcid":false,"given":"Jin-Long","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Geriatric Cardiology, People\u2019s Hospital of Guangxi Zhuang Autonomous Region, Nanning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,1]]},"reference":[{"key":"bibr1-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)91019-6"},{"key":"bibr2-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(96)02792-1"},{"key":"bibr3-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.59.5.849"},{"key":"bibr4-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(82)90480-X"},{"key":"bibr5-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-017-1181-4"},{"key":"bibr6-0300060520911495","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.907992"},{"key":"bibr7-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.01.114"},{"key":"bibr8-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2017.07.014"},{"key":"bibr9-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(16)30644-1"},{"key":"bibr10-0300060520911495","doi-asserted-by":"publisher","DOI":"10.1159\/000452707"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520911495","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060520911495","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520911495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:46:02Z","timestamp":1777459562000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060520911495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1177\/0300060520911495"],"URL":"https:\/\/doi.org\/10.1177\/0300060520911495","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]},"article-number":"0300060520911495"}}