Congenitally Corrected Transposition of the Great Arteries at Age 88 Years

Area of Science:

• Cardiology
• Medical Case Reports
• Rare Diseases

Background:

• Congenital heart disease (CHD) is typically diagnosed in infancy.
• Some complex CHDs, like congenitally corrected transposition of the great arteries (CCTGA), can remain undiagnosed until adulthood.
• The long-term prognosis for CCTGA, especially without associated anomalies, is not well-established.

Observation:

• A case of CCTGA diagnosed at 88 years old is presented.
• This represents the oldest reported age at diagnosis for CCTGA in medical literature.
• The patient had CCTGA without frequently associated cardiac anomalies.

Findings:

• The diagnosis at an advanced age suggests potential for longer survival in select CCTGA cases.
• This case highlights the possibility of late diagnosis in rare congenital heart conditions.
• The patient's survival to 88 years provides a data point for understanding CCTGA natural history.

Implications:

• This case may offer new insights into the prognosis of CCTGA without associated cardiac anomalies.
• It underscores the importance of considering adult congenital heart disease diagnoses.
• Further research into long-term outcomes for adult-diagnosed CCTGA is warranted.