Anomalous Left Coronary Artery from Pulmonary Artery presenting associated with Isolated Cleft Palate

Anomalous Left Coronary Artery from the pulmonary artery (ALCAPA) is a rare congenitalcardiac anomaly accounting for approximately 0.25%-0.5% of all congenital heart diseases. This anomalyis usually isolated, but has been associated with patent ductus arteriosus (PDA), ventricular septal defect(VSD), tetralogy of fallot (TOF) or coarctation of the aorta (COA). This anomaly hasn t been associatedwith extracardiac anomaly.Here we reported a 2-year of old male with cleft palate and the ALCAPA, whopresented with cardiomegaly and patent ductus arteriosus. As the early diagnosis of ALCAPA isimportant, we suggest this association consider in the cleft palate population with congenital heartdisease. AS the delay of ALCAPA diagnosis may be associated to elevated mortality and morbidity ofcleft palate repair, we suggest ALCAPA association was carefully searched in the cleft palate population.

Keywords:

Anomalous left coronary artery , pulmonary artery , patent ducts arteriosus , cleft palate