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We report an 11-year-old boy who presented with atypical chest pain and was found to have a rare variant of CAF; fortunately, he had no significant hemodynamic complications.<\/jats:p>","DOI":"10.12890\/2025_005536","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T06:29:58Z","timestamp":1749191398000},"source":"Crossref","is-referenced-by-count":0,"title":["Conus branch fistula to main pulmonary artery: a rare coronary anomaly that may cause chest pain in a pediatric patient"],"prefix":"10.12890","volume":"12","author":[{"given":"Leila","family":"Bigdelu","sequence":"first","affiliation":[{"name":"Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ossama","family":"Maadarani","sequence":"first","affiliation":[{"name":"Critical Care Unit, Internal Medical Department, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Azari","sequence":"first","affiliation":[{"name":"Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Heidari-Bakavoli","sequence":"first","affiliation":[{"name":"Department of Imaging, Razavi Hospital, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zouheir","family":"Bitar","sequence":"first","affiliation":[{"name":"Critical Care Unit, Internal Medical Department, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"10.12890\/2025_005536_ref1","doi-asserted-by":"crossref","unstructured":"Lim JJ, Jung JI, Lee BY, Lee HG. Prevalence and types of coronary artery fistulas detected with coronary CT angiography. AJR Am J Roentgenol 2014;203:W237-W243. doi:10.2214\/AJR.13.11613","DOI":"10.2214\/AJR.13.11613"},{"key":"10.12890\/2025_005536_ref2","doi-asserted-by":"crossref","unstructured":"Gillebert C, Van Hoof R, Van de Werf F, Piessens J, De Geest H. \u201cCoronary artery fistulas in an adult population\u201d. Eur Heart J 1986;7:437-443. doi: 10.1093\/oxfordjournals.eurheartj.a062086","DOI":"10.1093\/oxfordjournals.eurheartj.a062086"},{"key":"10.12890\/2025_005536_ref3","doi-asserted-by":"crossref","unstructured":"Padfield GJ. A case of coronary cameral fistula. Eur J Echocardiogr 2009;10:718\u2013720. doi: 10.1093\/ejechocard\/jep049","DOI":"10.1093\/ejechocard\/jep049"},{"key":"10.12890\/2025_005536_ref4","doi-asserted-by":"crossref","unstructured":"Zenooz NA, Habibi R, Mammen L, Finn JP, Gilkeson RC. Coronary artery fistulas: CT findings. RadioGraphics 2009;29:781\u2013789. doi: 10.1148\/rg.293085120","DOI":"10.1148\/rg.293085120"},{"key":"10.12890\/2025_005536_ref5","doi-asserted-by":"crossref","unstructured":"Christmann M, Hoop R, Dave H, Quandt D, Knirsch W, Kretschmar O.Closure of coronary artery fistula in childhood: treatment techniques and long-term follow-up. Clin Res Cardiol 2017;106:211\u20138. doi: 10.1007\/s00392-016-1041-6","DOI":"10.1007\/s00392-016-1041-6"},{"key":"10.12890\/2025_005536_ref6","doi-asserted-by":"crossref","unstructured":"Sunder K.R., Balakrishnan K.G., Tharakan J.A., et al. \u201cCoronary artery fistula in children and adults: a review of 25 cases with long-term observations\u201d. Int J Cardiol 1997;58:47-53. doi: 10.1016\/s0167-5273(96)02792-1","DOI":"10.1016\/S0167-5273(96)02792-1"},{"key":"10.12890\/2025_005536_ref7","doi-asserted-by":"crossref","unstructured":"\u00d6zen MB, Durmaz T, Ayhan H, Erdogan M. Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly. Rev Port Cardiol 2017;36:149-50. doi: https:\/\/doi.org\/10.1016\/j.repc.2016.03.011","DOI":"10.1016\/j.repc.2016.03.011"},{"key":"10.12890\/2025_005536_ref8","doi-asserted-by":"crossref","unstructured":"Kamal MM, Sundardas R, Sohail AA, Usman M, Iqbal S, Tipu FA, Fatimi SH. Coronary artery to pulmonary artery fistula: Catheter or scalpel? A case report. 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