# A Remarkable Case of Acute Stroke Unveiling Congenitally Corrected Transposition of Great Arteries

## TL;DR

A 35-year-old man with an acute stroke was found to have a rare heart defect usually diagnosed in infancy.

## Contribution

This case highlights the rare intersection of acute stroke and congenitally corrected transposition of great arteries in an adult.

## Key findings

- A 35-year-old male presented with acute stroke symptoms and was found to have congenitally corrected transposition of great arteries.
- The patient had no prior cardiovascular issues, making the late diagnosis of the heart defect unusual.
- Multidisciplinary management was required to address both the stroke and the anatomical heart condition.

## Abstract

Acute stroke and the transposition of great arteries are two distinct medical entities that rarely intersect in clinical practice. Acute stroke, a devastating neurological event, occurs due to a sudden interruption of blood flow to the brain, leading to focal neurological deficits. On the other hand, the transposition of great arteries is a congenital heart defect characterized by a complete reversal of the aorta and pulmonary artery, resulting in abnormal blood circulation. Traditionally, transposition of great arteries is diagnosed in infancy and managed with surgical interventions. However, instances of this condition being discovered in adulthood are exceedingly rare.

We present the case of a 35-year-old male who presented to the emergency department with acute stroke symptoms such as sudden-onset left-sided weakness and speech difficulties. Upon further investigation, we uncovered an unexpected finding of congenitally corrected transposition of great arteries, a congenital heart defect usually diagnosed in infancy. The patient's medical history was unremarkable for cardiovascular issues, making this association even more intriguing.

The clinical course of the patient involved immediate management of the acute stroke, followed by comprehensive cardiac evaluations to assess the implications of the transposition of great arteries. Cardiac imaging revealed anatomical variations and hemodynamic consequences, prompting a multidisciplinary approach to address both conditions.