Anomalous origin of the left coronary artery from pulmonary artery constitutes 0.5% of all CHD (Boutsikou M, Shore D, Li W, et al, Int J Cardiol 261: 49–53, 2018). Fifteen percent survive into adulthood undiagnosed and 90% present with sudden death (Yau JM, Singh R, Halpern EJ, Fischman D, Clin Cardiol 34: 204–210, 2011; Alexi-Meskishvili V, Berger F, Weng Y, Lange PE, Hetzer R, J Card Surg 10: 309–315, 1995). We describe an enigmatic case of a 29-year-old female who presented after an aborted cardiac arrest and was diagnosed with anomalous origin of the left coronary artery from pulmonary artery.

左冠状动脉起源于肺动脉的异常占所有 CHD 的 0.5% (Boutsikou M, Shore D, Li W, et al, Int J Cardiol 261: 49–53, 2018)。15% 的成年患者未确诊，90% 的患者突然死亡（Yau JM, Singh R, Halpern EJ, Fischman D, Clin Cardiol 34: 204–210, 2011; Alexi-Meskishvili V, Berger F, Weng Y, Lange PE, Hetzer R, J Card Surg 10: 309–315, 1995)。我们描述了一名 29 岁女性的神秘病例，她在心脏骤停流产后就诊，并被诊断为左冠状动脉起源于肺动脉异常。