Background: Symptomatic coronary-cameral fistula was rare, and it is typically treated with transcatheter closure. However, if the anatomy is not suitable for interventional treatment, surgical treatment should be considered. Patient and Methods: We investigated the double giant cameral fistula through multimodality imaging, and planned the surgical closure of the double outlets via the right and left atrium with on-pump beating heart coronary artery bypass grafting.
Conclusion: Our procedure was successful without postoperative complication.