en تخصصي Special گزارش مورد case report <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="line-height:17.0pt"><b><span style="color:#24a3a0">Background and Objective:</span></b> Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare but well-described cardiac anomaly with a frequency of 0.25-0.5% among all cardiac anomalies. It is associated with a high mortality rate (90%) in infants (within 1 year of birth) due to inadequate collateral circulation development. However, if good collateral circulation to the left side of the heart is established, the patient may survive into adulthood without complications.</span><br> <span style="line-height:17.0pt"><b><span style="color:#24a3a0"><span style="letter-spacing:.2pt">Case report:</span></span></b> <span style="letter-spacing:.2pt">The present report describes an unusual case of a 14-year-old boy who was incidentally diagnosed with ALCAPA and was completely asymptomatic with normal left ventricular ejection fraction. The patient was treated with conservative medical therapy and recommended for regular clinical follow-up.</span></span><br> <b><span style="line-height:107%"><span style="color:#24a3a0">Conclusion:</span></span></b> <span style="line-height:107%">Although our patient&rsquo;s parents were not convinced about surgical repair, he could be further treated with conservative medical therapy. However, surgical repair should be performed in all cases of ALCAPA to prevent the progression of ischemia, arrhythmia, congestive heart failure, and even sudden death.</span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></div> Anomalous Left Coronary Artery, Congenital Heart Disease, Coronary Anomaly, Left Coronary Artery Arising From Pulmonary Artery 760 764 http://caspianjp.ir/browse.php?a_code=A-10-221-1&slc_lang=en&sid=1 Anjali Vyas Anji14194@gmail.com 10031947532846004208 10031947532846004208 No Fellow Pediatrics, Geetanjali Medical College and Hospital, Udaipur, Rajasthan 313001, India Ramesh Patel drrameshpatel1982@gmail.com 10031947532846004209 10031947532846004209 Yes Associate Professor, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India Sandeep Aggarwal drsandeepaggarwal8@gmail.com 10031947532846004210 10031947532846004210 No Fellow Cardiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India Sanjay Mandot drmandot@yahoo.com 10031947532846004211 10031947532846004211 No Professor, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India