Key result
A 74-year-old man with an unoperated univentricular heart survived to age 74 without surgical intervention, representing the oldest reported survival for this condition.
Case Report (n=1)
This case demonstrates that extraordinary long-term survival into late adulthood is possible in unoperated univentricular heart when native haemodynamics balance pulmonary and systemic blood flow.
Supports possibility of late-adulthood survival in select unoperated univentricular heart cases; leaves open identification of favorable hemodynamic predictors.
Univentricular heart is a rare congenital heart malformation. Nowadays prognosis is considered to be strictly linked to surgical intervention, and survival into late adulthood is unusual. In some patients native haemodynamic circulation balances pulmonary and systemic blood flow, allowing long-term survival without the need for surgery. We report the case of a 74-year-old man with a univentricular heart in natural history, and we discuss the factors that might contribute to his extraordinary long-term survival.
No takes yet. Share an insight, caveat, or question.
Gesuete et al. (2015) conducted a case report in Univentricular heart (n=1). Natural history (unoperated) was evaluated on Survival. A 74-year-old man with an unoperated univentricular heart survived to age 74 without surgical intervention, representing the oldest reported survival for this condition.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: