Adult-Type Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery

This case report describes a 37-year old female who complained chest tightness and shortness of breath. After a series of examinations, the patient was diagnosed with the rare adult type of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) and underwent operation for closure of the anomalous opening and implantation of left internal mammary artery (LIMA) to left coronary artery (LCA). The post-operative course was uneventful. Although several infant cases had been reported in the literature, to our knowledge, the anomaly in this patient was a very rare adult type. Herein, we report this case and review the literature.