Key result
Surgical correction successfully stabilizes a neonate presenting with ALCAPA and mitral regurgitation.
Case Report (n=1)
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare, life-threatening condition that can present as mitral regurgitation in neonates and requires prompt surgical intervention.
Supports echocardiography for mitral regurgitation in neonates to detect ALCAPA; leaves open generalizability of surgical outcomes.
A 1-month-old neonate was referred due to poor feeding and failure to thrive. On examination, the child had a short systolic murmur at the apex. The echocardiogram revealed moderate mitral regurgitation, hyperechoic papillary muscle, and retrograde flow from the left coronary artery (LCA) into the pulmonary artery (PA), indicating an anomalous LCA from the PA (ALCAPA). The LCA arose from the nonfacing sinus of the PA, a rare and complex presentation, which makes surgery challenging. ALCAPA is a life-threatening condition, and early diagnosis and surgery are crucial. The child underwent successful surgery elsewhere and is stable on follow-up.
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Muneer et al. (2025) conducted a case report in Anomalous left coronary artery from the pulmonary artery (ALCAPA) with mitral regurgitation (n=1). Surgery was evaluated on Clinical stability. A 1-month-old neonate with anomalous left coronary artery from the pulmonary artery presenting with mitral regurgitation underwent successful surgical correction and remains stable on follow-up.
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