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An 80-year-old woman was admitted to our hospital because of chest discomfort. Emergent coronary angiography revealed bilateral coronary artery fistulas (CAFs) and severe stenosis of the left anterior descending artery (LAD) followed by successful coronary intervention. Threedimensional volume rendered computed tomography angiography (CTA) (Aquilion 16 TSX-101A, Toshiba, Otawara, Japan) images demonstrated a complex CAF composed of a

Bilateral Complex Coronary Artery Pulmonary Artery Fistulas Demonstrated by Multidetector Computed Tomography