Abstract
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is an unusual cause of heart failure in infancy. 1 At this stage, left coronary blood flow is reversed with steal into the pulmonary artery. Repeated episodes of myocardial ischemia or infarction cause globally impaired left ventricular function and may substantially increase the risk of surgical correction. In this report, we provide late follow-up on an infant with ALCAPA who, after coronary reimplantation, could not be separated from cardiopulmonary bypass without further intervention.
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