Maad Ullah.
Anomalous origin of left main coronary artery from pulmonary artery (ALCAPA).
Pak J Med Sci Jan ;22(3):313-5.

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 cardiomegaly on X-ray. The diagnosis was made on echocardiography and ECG. The baby is surviving on medications, parents having refused the surgical option.

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