Anomalous left coronary artery originated from the pulmonary artery (ALCAPA) is a rare cardiac abnormality (incidence: <0.5%). We experienced an extremely rare case of ALCAPA that discovered with the self-reported symptom of epigastralgia for two years, though the abdominal examinations were totally normal. Various echocardiographic and CTA methods were useful for its diagnosis.

The corrected transposition of great arteries without ventricular septal defect and pulmonary stenosis is rare in the clinic. We reported a case of ccTGA with tricuspid valve regurgitation that lead his exertional angina. Various echocardiographic and CTA methods were useful for its diagnosis. Although the patient didn't choose the surgical treatment, further follow-up was still needed during his conservative treatment procedure.