Anomalous left coronary artery from the pulmonary artery: A case report of ALCAPA syndrome with bicuspid aortic valve

This case emphasizes the importance of recognizing ALCAPA in adults, particularly in patients presenting with minimal symptoms despite significant congenital anomalies. In select cases with adequate collateral circulation, medical management may be a viable alternative to surgical intervention, underscoring the need for individualized treatment approaches based on the patient's anatomical and functional profile.