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Atypical presentation of ALCAPA in a young boy: a case report

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Case report reveals diagnostic challenges of ALCAPA and its impact on coronary artery function.

Severe mitral regurgitation led to pulmonary hypertension and atypical imaging features in a young boy.
Diagnostic challenges arose due to antegrade coronary artery flow masking ALCAPA on echocardiography.
Successful surgical reimplantation of the left coronary artery resolved significant symptoms.
Anomalous origin of the left main coronary artery from the pulmonary artery is a rare congenital defect.

Ren et al. (2025) studied this question.

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