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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. This anomaly is 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 associated with extracardiac anomaly.Here we reported a 2-year of old male with cleft palate and the ALCAPA, who presented with cardiomegaly and patent ductus arteriosus. As the early diagnosis of ALCAPA is important, we suggest this association consider in the cleft palate population with congenital heart disease. AS the delay of ALCAPA diagnosis may be associated to elevated mortality and morbidity of cleft palate repair, we suggest ALCAPA association was carefully searched in the cleft palate population

     

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