Anomalous left coronary artery origin from the pulmonary artery: an unusual late presentation of Bland-Garland-White syndrome

A 43-year-old woman presented with exertional dyspnea. On investigation, she was found to have ischemic left ventricular dysfunction on the basis of an anomalous left coronary artery originating from the pulmonary artery. She underwent successful surgical correction of this congenital anomaly that usually presents in childhood.