Coronary-pulmonary artery fistula and obstructive coronary artery disease in two brothers

Coronary artery fistula is the most common of the coronary artery malformations. Ischaemic heart disease and fistulous communication between the LAD artery and the main pulmonary artery was diagnosed in two brothers aged 48 and 49. They had coronary artery bypass grafting and also the fistulae were ligated in both. This seems to be the first report of congenital coronary artery fistula and obstructive coronary artery disease in two brothers.