A 57-year-old woman suffered from atypical angina after a myocardial in farction. Coronary artery occlusive dis ease and fistula between the coronary artery and pulmonary artery was iden tified by cardiac catheterization. The result of medical treatment was border line, and she did not respond to nitro glycerin as is expected in coronary oc clusive disease. Following surgical clo sure of the fistula and myocardial re vascularization, her angina subsided and she was pain-free for more than 1 year.
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