Anomalous origin of coronary arteries from pulmonary artery in adults: a case series.

Background: Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, or sudden cardiac death in up to 90% of cases within the first months of life.

Case Summary: We present four cases diagnosed in adulthood over 10 years in two high-volume centres.