Case Report

ALCAPA: The Al Capone of coronary artery anomalies

Farzanah Ismail
South African Journal of Radiology | Vol 16, No 3 | a290 | DOI: | © 2012 Farzanah Ismail | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2012 | Published: 10 September 2012

About the author(s)

Farzanah Ismail, Department of Radiology, Steve Biko Academic Hospital and University of Pretoria


Anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare coronary artery anomaly that presents with myocardial ischaemia or infarction and/or cardiac failure in infants. It is associated with a mortality rate of 90% within the first year of life. Surgical correction to re-establish a two-coronary artery perfusion system is the treatment of choice, once patients are medically stable.


Coronary artery anomaly, congenital coronary anomalies, infant with ischaemic heart disease,


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