Introduction: Coronary artery fistulas are usually incidental findings and rarely cause any clinical symptoms.
Case presentation: In this case a coronary pulmonary fistula was revealed by coronary CT angiography and as it was considered responsible for the patients’ symptoms, its’ closure was performed during percutaneous coronary intervention.
Conclusion: The noninvasive coronary CT angiography is a valuable examination in the diagnosis of coronary anomalies.