The patient’s decision dilemma after screening coronary computed tomography angiography—adult-type ALCAPA with a multimodality imaging approach: a case report

Anomalous left coronary artery from the pulmonary artery is rare, but the increased use of CCTA for risk stratification in asymptomatic patients might lead to more frequent diagnosis in older individuals. As with our patient, a dilemma may arise when deciding on its treatment, because the guideline-recommended treatment is surgical correction in all patients. However, there is still little evidence to support this recommendation for older, asymptomatic patients, making advice and decisions difficult for such individuals.