A 54-year-old man with hypertension, was referred for coronary angiography (CA) because of dyspnoea on exertion which had increased during the past year. A physical examination was unremarkable except for cardiac murmur on auscultation. An ECG and chest radiograph were normal. Selective CA disclosed a coronary-pulmonary artery fistula (CPAF) with two feeding vessels originating from the proximal portion …