An innovative treatment of anomalous origin of the left coronary artery from the pulmonary artery

A 10-year-old girl was admitted with cough and palpitation, a transthoracic and transoesophageal echocardiography showed anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). A computed tomographic scan demonstrated an enormously dilated, tortuous, and dominant right coronary artery originating from the right coronary cusp, with a large number of collateral vessels filling the left main coronary artery (LMCA) ( Panels A …