Woman, 70 years of age, affected by ALCAPA without surgical repair.

Few cases of anomalous origin of the left coronary artery from the pulmonary artery remain asymptomatic until adolescence, and it is very rare to find a patient with this disease reaching the age of 70 without having undergone any surgery. Up to now, there have been only three other cases of patients, more than 70 years of age, with this congenital heart effect described in medical literature. We report the clinical history and the cardiac morphofunctional findings of 12 years of follow-up after a very late diagnosis of anomalous origin of the left coronary artery from the pulmonary artery.