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A clinical case of anomalous origin of anterior descending artery from pulmonary artery (ALCAPA syndrome) in an elderly woman is described. A peculiar feature of the presented clinical case is congenital heart disease manifestation in the elderly age. Clinical manifestations of coronary heart disease, risk factors allowed, first of all, to assume the presence of significant coronary atherosclerosis. Nevertheless, the data of modern visualization technologies indicate the possibility of diagnosing coronary artery anomaly in elderly patients. In the description and discussion of the clinical case, there are features of coronary arteries transthoracic visualization with determination of the direction and the velocity of blood flow along the main coronary arteries and intercoronary anastomoses, as well as the importance of conducting multispiral computer tomography of coronary arteries in order to identify “adult” type

ANOMALOUS ORIGIN OF ANTERIOR DESCENDING ARTERY FROM PULMONARY ARTERY IN AN ELDERLY WOMAN. VISUALIZATION POSSIBILITIES