Transverse computed tomography scan thorax with contrast showing the coronary arterio-venous malformations (CAV) and the fistulous (F) opening within the pulmonary artery.3 AO, aorta; PA, pulmonary artery. Reproduced by Dimitrakakis G, Von Oppell U, Luckraz H, Groves P. Surgical repair of triple coronary-pulmonary artery fistulae with associated atrial septal defect and aortic valve regurgitation. Interact Cardiovasc Thorac Surg 2008;7(5):933–934