Key result
Single atrium in a 45-year-old multipara presents as puerperal cardiac decompensation mimicking peripartum cardiomyopathy.
Case Report (n=1)
Single atrium, a rare congenital anomaly, can present with heart failure symptoms during the puerperium and mimic peripartum cardiomyopathy, emphasizing the need for thorough clinical evaluation.
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Prompts consideration of congenital anomalies in peripartum decompensation; leaves open need for targeted screening protocols.
Single atrium (SA) is one of the rare congenital anomalies in which atrial septum is completely absent without endocardial cushion defect (absence of malformation of the atrioventricular valves). Patients with single atrium may present with features of cardiac failure particularly when the heart is exposed to stressful demand, such as pregnancy or strenuous physical activities. We report a case of a 45yr old multipara with single atrium who presented with symptoms and signs of cardiac decompensation within puerperium thought to be due to peripartum cardiomyopathy. This highlight the importance of detailed history taking and thorough physical examination in patients presenting with symptoms of heart failure within the puerperium
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Garba et al. (2026) conducted a case report in Single atrium mimicking peripartum cardiomyopathy (n=1). Single atrium was evaluated. A 45-year-old multipara with a single atrium presented with cardiac decompensation during puerperium, mimicking peripartum cardiomyopathy.
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