Anomalous Left Coronary Artery from Pulmonary Artery Presenting as Dilated Cardiomyopathy in Infancy

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac anomaly accounting for approximately 0.25% - 0.5% of all congenital heart diseases. The blood supply to the left ventricular myocardium is severely compromised and results in myocardial ischemia, infarction, and fibrosis. Here we report a 2-year-old female infant with the ALCAPA, who presented as dilated cardiomyopathy at the first visit