{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T07:47:21Z","timestamp":1782200841702,"version":"3.54.5"},"reference-count":9,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly with exceptional survival into adulthood. We present a 66-year-old woman with chest and back pain in whom ALCAPA was diagnosed using coronary computed tomography angiography (CCTA) with curved planar reformation and cinematic volume rendering technique (cVRT). Photorealistic three-dimensional reconstruction provided complementary three-dimensional visualization that may facilitate anatomic understanding and communication of the anomalous origin. Conservative management was adopted given the patient\u2019s age and well-developed collateral circulation. This case underscores the value of advanced CCTA visualization in diagnosing rare coronary anomalies in elderly patients.<\/jats:p>","DOI":"10.3390\/diagnostics16121940","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T06:13:37Z","timestamp":1782195217000},"page":"1940","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anomalous Left Coronary Artery from the Pulmonary Artery: Cinematic Volume Rendering Technique for Enhanced Anatomic Visualization"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0902-6736","authenticated-orcid":false,"given":"Shuo","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Radiology, Chest Hospital, Tianjin University, Tianjin 300222, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7841-2360","authenticated-orcid":false,"given":"Kun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Chest Hospital, Tianjin University, Tianjin 300222, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7670-626X","authenticated-orcid":false,"given":"Hong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Chest Hospital, Tianjin University, Tianjin 300222, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Blickenstaff, E.A., Smith, S.D., Cetta, F., Connolly, H.M., and Majdalany, D.S. (2023). Anomalous Left Coronary Artery from the Pulmonary Artery: How to Diagnose and Treat. J. Pers. Med., 13.","DOI":"10.3390\/jpm13111561"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"108521","DOI":"10.1016\/j.ijscr.2023.108521","article-title":"ALCAPA in adult asymptomatic patient: A case report","volume":"109","author":"Talkhatova","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s10554-025-03548-x","article-title":"Anomalous left coronary artery from the pulmonary artery in adults: A systematic review of clinical presentation, diagnosis, and outcomes","volume":"42","author":"Suchodolski","year":"2026","journal-title":"Int. J. Cardiovasc. Imaging"},{"key":"ref_4","first-page":"79","article-title":"A case of \u201clate adult type\u201d of ALCAPA syndrome in a 76-year-old woman","volume":"30","author":"Bitonti","year":"2024","journal-title":"J. Cardiol. Cases"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"4043","DOI":"10.1111\/jocs.15926","article-title":"Anomalous origin of left main coronary artery from pulmonary artery: Patient characteristics and imaging associations on multidetector computed tomography angiography","volume":"36","author":"Ojha","year":"2021","journal-title":"J. Card. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"3140","DOI":"10.1016\/j.radcr.2023.06.033","article-title":"Cinematic rendering of the coronary-pulmonary arterial fistula","volume":"18","author":"Liu","year":"2023","journal-title":"Radiol. Case Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1016\/j.hlc.2024.11.031","article-title":"Comparative Analysis of Coronary Artery Anomalies Originating From the Pulmonary Artery: Clinical Presentation, Imaging Findings, and Surgical Outcomes in Diverse Age Groups","volume":"34","author":"Wang","year":"2025","journal-title":"Heart Lung Circ."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"ytaf511","DOI":"10.1093\/ehjcr\/ytaf511","article-title":"The patient\u2019s decision dilemma after screening coronary computed tomography angiography-adult-type ALCAPA with a multimodality imaging approach: A case report","volume":"9","author":"Wirth","year":"2025","journal-title":"Eur. Heart J. Case Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1002\/ehf2.15094","article-title":"Pulmonary hypertension associated with anomalous left coronary artery originating from the pulmonary artery","volume":"12","author":"Duan","year":"2025","journal-title":"ESC Heart Fail."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/12\/1940\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T07:00:39Z","timestamp":1782198039000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/12\/1940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,22]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["diagnostics16121940"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics16121940","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,22]]}}}