You can check for errors with alloca. It returns NULL on failure. You have the same problem as with error checking malloc. On platforms with overcommit (any fork-based UNIX, except maybe Solaris) it doesn't fail at allocation time, it fails when you try to access the memory and fail to map a page. But at least on 32-bit systems it can detect when you exhaust your address space (an actual problem for things like web browsers that still commonly ship 32-bit binaries and use lots and lots of threads).
But yeah, the real reason is that MSVC will never implement VLAs.