Most of the coronary artery pulmonary artery fistula has no obvious symptoms, can be regularly reviewed and observed. A small number of patients with chest pain, chest tightness, palpitations, fatigue and other symptoms after physical activity, as soon as possible to minimally invasive intervention blockage or surgical treatment. 1. arteriopulmonary artery fistula fistula generally will not close, but most of the fistula is relatively small, the coronary artery blood flow is shunted less, the patient has no obvious clinical symptoms, can be regularly reviewed and observed. 2. A small number of patients with coronary artery pulmonary artery fistula physical activity, chest pain, chest tightness, palpitations, fatigue and other symptoms, or fistula is relatively large, coronary artery blood flow is shunted more, and the patient has progressed to a combination of pulmonary hypertension and infective endocarditis may be as early as possible minimally invasive interventional blockage or surgical treatment. 3. Minimally invasive interventional occlusion is suitable for coronary artery fistula with less shunt. Coronary artery pulmonary artery fistula fistula orifice is relatively large, coronary artery blood flow is shunted more patients need to open thoracic surgical treatment, generally do not need extracorporeal circulation. What to do with coronary artery pulmonary artery fistula, it is recommended to go to the hospital for further consultation.