title: Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review.
abstract: BACKGROUND
  Coronary artery fistula and single coronary artery are two different rare congenital anomalies. The cases with co-existed the two anomalies are more rare. To the best of our knowledge with literature review, the coronary artery fistula between single right coronary artery and right pulmonary artery has not been previously reported.
  
  
  METHODS
  In the present article, we report a Chinese patient (a 8-month-old male) who presented cyanosis when cried and heart murmur. The cardiac angiography confirmed coronary artery fistula between single coronary artery arising from the right aortic sinus and right pulmonary artery. Furthermore, the right pulmonary artery was interrupted with main pulmonary artery and the pulmonary blood supplied by single right coronary artery. Following the surgical procedure, the anomalous fistula vessel was cut and sutured. The right pulmonary artery was reconstructed to connect with main pulmonary artery. The patient had an uneventful postoperative course and discharged. Then we reviewed the related literature with Medline and Pubmed databases for further details.
  
  
  CONCLUSIONS
  We believe our patient is the very particular case about coronary artery fistula combined with single coronary artery, and it is first reported with our literature review. As other coronary anomalies, coronary or aortic root angiography is the gold standard method for the diagnosis. Furthermore, early surgery is an optimal treatment in our case.
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Postal address: No. 355 Luding Road, Postcode: 200062, Shanghai, China. naijileix@aliyun.com.
authors.forename: Li-Jian
authors.initials: LJ
authors.lastname: Xie
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Postal address: No. 355 Luding Road, Postcode: 200062, Shanghai, China. zhangl1817@shchildren.com.cn.
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Postal address: No. 355 Luding Road, Postcode: 200062, Shanghai, China. xiaott@shchildren.com.cn.
authors.forename: Ting-Ting
authors.initials: TT
authors.lastname: Xiao
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Postal address: No. 355 Luding Road, Postcode: 200062, Shanghai, China. she6nt@163.com.
authors.forename: Jie
authors.initials: J
authors.lastname: Shen
mesh_terms: D001159:Arterio-Arterial Fistula / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D003490:Cyanosis / Q000209:etiology; D018618:Echocardiography, Doppler, Color; D006337:Heart Murmurs / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D011652:Pulmonary Circulation; D016896:Treatment Outcome