Anomalous origin of left coronary artery from pulmonary artery in a 54-year-old woman presenting ventricular tachycardia from anteroseptal scar

Kanji Iga MD, Kenjiro Hori MD, Tadashi Matsumura MD and Hiromitsu Gen MD

Summary

We report a 54-year-old female with anomalous origin of the left coronary artery from the pulmonary artery who came to our hospital complaining of dizziness presumably due to ventricular tachycardia. Electrocardiography, echocardiography and myocardial scintigraphy were indistinguishable from anteroseptal myocardial infarction. Only coronary angiography could differentiate between atherosclerotic ischemic heart disease and anomalous origin of left coronary artery from the pulmonary artery.