Late presentation and surgical repair of ALCAPA

Keyword: Adult Congenital Heart Surgery with DC cardioversion and amiodarone. Patient remained in sinus rhythm. On annual appointments appeared to carry no stigmata of heart failure, with improvement on exercise tolerance and able tomaintain full working hours. 3 years after surgery on cardiac auscultation 1/6 pansystolicmurmur was heard. ECG did not show signs of ischemia. TTE confirmed preserved LV systolic function with a mild RWMA in the territory of the proximal LAD (presumably proximal to the SVG anastomoses). Mild