Akbari, JayeshTheodore, SanjayKrishnamanohar, Soman RNeelakandhan, Kurur S2012-12-042012-12-042007Asian cardiovascular & thoracic annals. 15; 2; e23-4https://dspace.sctimst.ac.in/handle/123456789/954A girl who was diagnosed at 8 months old with anomalous left coronary artery from the pulmonary artery and was subsequently lost to follow-up, presented at the age of 11 years with congestive heart failure and severe mitral regurgitation with supra-systemic pulmonary artery pressure. With progressive mitral regurgitation, coronary steal is reduced by the rising pulmonary artery pressure, and patients present late with severe valvular cardiomyopathy.CardiologyPulmonary hypertension alters natural history of anomalous left coronary artery.