“…At the time, surgical resection of the involved lung lobe was done, with ligation of the connecting systemic arteries to prevent hemorrhage [3] . More recent cases described by Wynne et al, Shimmyo et al, Juergens et al, and Kawakado et al all describe various SA-PAF presentations and their repair using endovascular embolization [1] , [2] , [3] , [4] , [5] . Wynne et al describes a right inferior phrenic artery to right pulmonary artery fistula found incidentally while evaluating for cause of ischemic thalamic stroke, with embolization done to reduce the risk of cor pulmonale [2] .…”