Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) Presenting with Dilated Cardiomyopathy in a 1.5 Year Old Boy: A Case Report

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) syndrome is a rare congenital cardiac anomaly that presents in the first few months of life in most patients. The clinical course consists of left-sided heart failure and low cardiac output with signs of myocardial ischemia and cardiomyopathy, which without surgical intervention has poor prognosis and high mortality. We describe a 1.5-year-old patient with this anomaly with severe cardiomyopathy and left-sided heart failure. The patient underwent Takeuchi''s repair with satisfactory outcome