Anomalous origin of left main coronary artery from pulmonary artery [ALCAPA]

ABSTRACT

Anomalous origin of left main coronary artery from pulmonary artery [ALCAPA] is a very rare congenital anomaly, reported in less than 0.5% of all the congenital heart diseases. Left untreated, majority of the patients die in infancy of myocardial ischemia. We report a case with this anomaly, presented in early infancy with progressive dyspnoea, feeding difficulty and cardiomagaly on X-ray. The diagnosis was made on echocardiography and ECG. The baby is surviving on medications, parents having refused the surgical option