Anomalous origin of the left coronary artery from the pulmonary artery in a 53-year-old woman

We present a 53-year-old female patient with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), who was admitted for atypical chest discomfort and underwent direct implantation of the anomalous coronary artery (ACA) to the ascending aorta. The clinical characteristics of the anomaly in an adult with only mild symptoms and technical aspects of the procedure were discussed.