# The Winding Road to Dyspnea: A Case Report of an Unusual Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery

## TL;DR

A 30-year-old woman with a rare heart condition called ALCAPA was diagnosed and successfully treated with surgery.

## Contribution

This case report highlights an unusual presentation of ALCAPA in an adult and the effectiveness of surgical correction.

## Key findings

- A 30-year-old female was diagnosed with ALCAPA after experiencing reduced exercise tolerance.
- The patient underwent a successful Takeuchi repair, a surgical correction for ALCAPA.
- Early surgical intervention is recommended to improve prognosis in ALCAPA cases.

## Abstract

Background and Clinical Significance: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. Such patients are unlikely to survive adulthood without a major surgical correction. Case Presentation: We report a 30-year-old female with a lifelong murmur who presented to the sports cardiology clinic with progressively reduced exercise tolerance. She was eventually diagnosed with ALCAPA and underwent successful Takeuchi repair. Conclusions: Surgical correction is strongly recommended upon diagnosis to mitigate the associated risks and improve the prognosis for affected individuals.