# Presentation of Asymptomatic Ebstein’s Anomaly: A Case Report

## TL;DR

A man with Ebstein’s anomaly remained asymptomatic until late adulthood, when he developed heart-related symptoms, highlighting the condition's variable presentation and need for ongoing monitoring.

## Contribution

This case report emphasizes the late-onset complications of Ebstein’s anomaly in an asymptomatic adult, underscoring the importance of long-term monitoring.

## Key findings

- A 58-year-old man with EA developed symptoms like dyspnea and palpitations at age 55, despite being asymptomatic for decades.
- The case illustrates that EA can remain asymptomatic for a long time and still lead to significant complications in older adulthood.
- It underscores the need for continued clinical vigilance in managing EA, even in patients who have been asymptomatic for years.

## Abstract

This report describes the case of a 58-year-old man with Ebstein’s anomaly (EA) who remained asymptomatic until 55 years of age when he began experiencing acute dyspnea, palpitations, dizziness, and fatigue during exercise. Patients with EA have an increased risk for arrhythmia, right-sided heart failure, and sudden cardiac arrest. This case report highlights the late-onset complications of EA in a previously asymptomatic adult. While this case aligns with the typical collection of symptoms seen in EA, it is unique in that the complications of EA did not develop until the patient was an older adult despite being diagnosed with EA shortly after birth. However, the spectrum of clinical presentation of EA varies greatly from asymptomatic to severe. For patients with asymptomatic EA, this case exemplifies the importance of recognizing the progression and complications of this malformation in older adults to ensure proper interventions are pursued.