The Turkish Journal of Pediatrics 2004; 46: 92-94 Case Adult type anomalous origin of the left coronary artery from the pulmonary artery

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a clinical entity characterized by myocardial necrosis which becomes symptomatic shortly after birth; survival beyond infancy is uncommon because of severe left heart failure. To our knowledge, it is rare for an ALCAPA patient to survive to adulthood. Here we present a case of a 17-year-old girl with ALCAPA who was referred to our hospital because of palpitation and dyspnea. Key words: anomalous origin of the left coronary artery from the pulmonary artery, adult type, coronary anomalies. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly occurring in approximately 1 in 300,000 live births1. This syndrome can cause severe myocardial ischemia or infarction leading to left ventricular dysfunction, mitra