Rare but possible: There are certain heart defects which may not be evident until early adulthood such as septal defects or noncompaction cardiomyopathies. Other heart conditions such a viral cardiomyopathy can occur in any age.
Answered 1/6/2019
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Possible: Agree. Some defects are more subtle and may escape detection earlier in life. I have personally diagnosed atrial septal defects in adults on multiple occasions. That said, they are often found incidentally (e.g. after an episode of passing out), and not in heart failure. Nevertheless, it is possible. Please see your doctor if you are concerned about having a congenital heart defect.
Answered 1/6/2019
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