A very rare case of late diagnosis of cor triatriatum sinistrum

Area of Science:

• Cardiology
• Congenital Heart Disease

Background:

• Cor triatriatum sinistrum is a rare congenital heart anomaly.
• Bicuspid aortic valve is a common congenital heart defect.

Observation:

• A 73-year-old patient with a history of heart failure, hypertension, and atrial fibrillation presented with these conditions.
• The patient was diagnosed with both cor triatriatum sinistrum and a bicuspid aortic valve.

Findings:

• The patient refused surgical correction for the diagnosed cardiac conditions.
• Conservative management of heart failure and atrial fibrillation led to symptomatic improvement.

Implications:

• This case highlights the importance of considering rare congenital anomalies in complex cardiac presentations.
• Conservative management can be effective for certain complex cardiac conditions, even in the absence of surgical intervention.