The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in Senegal

The anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare malformation that represents less than 0.5% of the congenital heart diseases. The common clinical feature is congestive heart failure. The treatment is strictly a surgical repair. The authors report the first 3 cases of ALCAPA diagnosed in Senegal in infants under the age of 1 year old. Two were successfully treated by surgical repair; the 3 rd child is still waiting for surgical repair to be performed abroad.