ABSTRACT

Anomalous left coronary artery originating from the pulmonary artery (ALCAPA or Bland–White–Garland Syndrome) is a congenital coronary artery anomaly characterized by risk of death due to heart failure and sudden cardiac death. The probability of survival to adulthood is very poor in untreated patients. We present the case of an untreated 32-year old female patient with this congenital anomaly who has been asymptomatic till now even though she has had 3 uncomplicated pregnancies.