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(A) Coronary angiography confirms that fistula between left anterior descending coronary artery (LAD) and main Pulmonary Artery (PA), also, stenoses on the LAD and left circumflex artery (LCX). (B) Fistula which located between left anterior descending coronary artery(LAD) and main pulmonary artery (PA).
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He underwent a coronary arteriogram a week later, which revealed a fistula connection arising from the LAD and draining into the main pulmonary artery, blockage of the right coronary artery and significant stenoses on the LAD and LCX (Figure 1A, 1B).