The first clinical description in conjunction with the autopsy findings of anomalous origin of the left coronary artery from the pulmonary trunk (English ALCAPA) were described by Bland and colleagues in 1933, so the anomaly is also called syndrome Bland-White-Garland, although it is a rare event in young and adult patients, the diagnostic and therapeutic implications remain a challenge for a 17-year-old asymptomatic athlete with this potentially lethal diagnosis.ALCAPA syndrome (anomalous left coronary artery from the pulmonary