Anomalous origin of the left coronary artery from pulmonary artery (ALCAPA) syndrome, aka Bland-White-Garland syndrome is quite an uncommon but severe congenital abnormality in children and affects 1 in every 300,000 live births. 1,2  In some cases, this disease is associated with other cardiac anomalies such as an atrial septal defect or a ventricular septal defect. It causes dilated cardiomyopathy, left heart failure, and the mortality rate is quite high, i.e., around 85% of patients die within the first year of birth.

3  This case report represents an interesting case of diagnosis and successful management of ALCAPA syndrome in an asymptotic and highly physically active child. Clinical presentation  An 11-year-old boy was presented to the cardiac department for medical evaluations and a routine cardiac check-up. Medical history         No history of any specific cardiac problem in…