It is always important to call _freea after every call to _malloca.
_malloca is like _alloca, but adds some extra security checks and enhancements for your protection. As a result, it's possible for _malloca to allocate on the heap instead of the stack. If this happens, and you do not call _freea, you will get a memory leak.
In debug mode, _malloca ALWAYS allocates on the heap, so also should be freed.
Search for _ALLOCA_S_THRESHOLD for details on how the thresholds work, and why _malloca exists instead of _alloca, and it should make sense.
Edit:
There have been comments suggesting that the person just allocate on the heap, and use smart pointers, etc.
There are advantages to stack allocations, which _malloca will provide you, so there are reasons for wanting to do this. _alloca will work the same way, but is much more likely to cause a stack overflow or other problem, and unfortunately does not provide nice exceptions, but rather tends to just tear down your process. _malloca is much safer in this regard, and protects you, but the cost is that you still need to free your memory with _freea since it's possible (but unlikely in release mode) that _malloca will choose to allocate on the heap instead of the stack.
If your only goal is to avoid having to free memory, I would recommend using a smart pointer that will handle the freeing of memory for you as the member goes out of scope. This would assign memory on the heap, but be safe, and prevent you from having to free the memory. This will only work in C++, though - if you're using plain ol' C, this approach will not work.
If you are trying to allocate on the stack for other reasons (typically performance, since stack allocations are very, very fast), I would recommend using _malloca and living with the fact that you'll need to call _freea on your values.