We have a report on a uncommon congenital coronary artery anomaly is A congenital heart condition called aberrant the pulmonary artery serves as the left coronary artery’s point of origin (ALCAPA) causes this. 90% of infant deaths are brought on as a result of The first year of life is when myocardial infarction and congestive heart failure occur,The newborn type of ALCAPA syndrome and the adult type are two distinct manifestations of the condition.. The adult type may be a significant factor in sudden cardiac death. Rare congenital coronary anomaly ALCAPA has a high fatality rate, another name for ALCAPA is BlandWhite-Garland Syndrome. A 3 months old female baby presented to our outpatient department with complaint of is wheeze sound ,cold ,purple skin colour are appeared due to crying called cyanosis ,disturbed suck rest suck cycle, forhead sweating called hyperhidrosis on time of feeds. In this case report highlights the ALCAPA, she was treated as a case of (ALCAPA) repair and got intermittent relief in suck cycle, rare congenital cardiac abnormality ALCAPA occurs at incidence of 1 in every 300,000 live births. And the congenital heart defect comprising of coronary arteries is 0.25%-0.5%.