• ALCAPA must be considered in an infant with ischemia and/or heart failure. • A rare variant with intramural aortic course may appear normal on 2D echo. • Retrograde color flow in the LCA is highly suspicious for this lesion. • Ambiguous cases will benefit from multimodality imaging via catheterization or CT. • Early recognition may lead to lifesaving surgical correction.
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| http://dx.doi.org/10.1016/j.case.2022.02.001 | DOI Listing |
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