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September 23, 2025LifeOpen Access

Myocardial Infarction in a Young Adult: A Rare Case of Left Coronary Artery Arising from the Pulmonary Artery

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Case of a 30-year-old male exhibits myocardial infarction due to a rare coronary anomaly, suggesting need for high suspicion for ALCAPA.

The patient experienced a myocardial infarction due to ALCAPA, and underwent successful surgical correction.
Transthoracic echocardiography revealed a left ventricle ejection fraction of only 35%, indicating severe dysfunction.
Coronary angiography confirmed an anomalous origin of the left circumflex artery from the right pulmonary artery.
Deep suspicion for ALCAPA in adults with ischemic symptoms is crucial for timely diagnosis and treatment.

Veljković et al. (2025) studied this question.

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