Coronary artery to pulmonary artery fistula (CA-PAF) is a rare congeni
tal anomaly, The purpose of this retrospective study was to analyze II
adult patients with CA-PAFs treated surgically, and to evaluate the s
urgical management and long-term results. There were no surgical death
s and all patients survived the follow-up periods (mean 7.2 years). Al
l symptomatic patients improved their New York Heart Association funct
ional class. As surgical correction is safe and effective, with good l
ong-term results, all the patients with CA-PAF in adults can be candid
ates for surgery to prevent life-threatening complications.