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We reported two situations of severe mitral regurgitation in whom the clear presence of ALCAPA was over looked in the first cardiac surgery. In the first instance, ALCAPA was diagnosed a year after the mitral annuloplasty additionally the surgical reimplantation ended up being effectively performed. Into the 2nd instance, ALCAPA was incidentally recognized on multislice computerized tomography during preoperative workup for the 2nd surgery to displace the dehiscent mitral prosthesis. The clinical p