Alaa Hi̇jazi̇, Bayram Yılmazkaya, Murat Erci̇şli̇, Deniz Demi̇r, Müslüm Çakır

Keywords: ALCAPA syndrome, congenital coronary artery anomaly


A 38-year-old man with no medical history presented with dyspnoea on exertion. Coronary angiography and coronary computerised tomography (CT) angiography revealed anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). The left anterior mammary artery and venous graft were used as a double bypass graft to the left anterior descending coronary and obtuse margin arteries, respectively. The patient was asymptomatic on follow-up.