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ALCAPA detected by echocardiography. Female, 37 years old, adult-type ALCAPA. (A) Echocardiography showing the left coronary artery originating from the posterior wall of the pulmonary trunk (arrow); (B) shunting flow from the left coronary artery into the pulmonary artery (arrow). ALCAPA, anomalous origin of the left coronary artery from the pulmonary artery; LCA, left coronary artery; PA, pulmonary artery.
