Concurrent finding of rheumatic severe mitral regurgitation and anomalous left coronary artery from the pulmonary artery (ALCAPA) in a 23-year-old patient consulting for ventricular tachycardia: A case report and a review of the literature.

Introduction: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease that in most cases manifests in the first months of life, being a well-studied entity of myocardial ischaemia in young patients. It has been reported that up to 90 % of infants die without treatment in the first year, although late diagnosis is increasingly reported in adults.

Case Summary: We present the case of a 23-year-old woman of Moroccan origin with no medical history of interest, who was admitted to the cardiac intensive care unit after an episode of sustained ventricular tachycardia (VT) that required electrical cardioversion.