Anomalous left coronary artery from the pulmonary artery in an extremely premature neonate: A case report

Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) is a rare congenital cardiac lesion that requires surgical correction as soon as safely possible. In the very premature neonate, the surgical and medical considerations are complicated by the intrinsic risk of surgical manipulation of fragile tissue, the potential for severe multiorgan injury from cardiopulmonary bypass, and the ability to offer salvage operations, including extracorporeal membrane oxygenation and mitral valve replacement. Herein, we present a case of a very premature patient diagnosed with ALCAPA who underwent eventual successful repair.