Adult congenital heart disease: experience with the surgical approach

Amaral FT, Rodrigues AJ, Manso PH, Schmidt A, Kolachinski MF, Carbone C, Sgarbieri RN, Vicente WV

Rev Bras Cir Cardiovasc 2013 Sep;28(3):371-9

PMID: 24343687

Abstract

OBJECTIVE: To report the institution experience with the surgical treatment of adults with congenital heart disease due to the increasing number of these patients and the need for a better discussion of the subject.

METHODS: Retrospective analysis describing demographic data, risk factors and results.

RESULTS: 191 patients between 16 and 74 years old were operated on. Primary correction was done in 171 cases, 93 (55%) for atrial septal defect repair. Among 20 (12%) reoperations, pulmonary valve replacement was done in six cases. The mean intensive care and hospital stay were 2.7 and 8.5 days respectively, significantly greater for the reoperated cases (P=0.001). The mean bypass and clamping times were 68.6 and 44.7 minutes respectively, greater for the reoperated cases (P

CONCLUSION: Heart surgery in adults with congenital heart disease can be accomplished with low mortality and functional class improvement. Immediate and late complications are frequent. Multicenter studies are important to better characterize this patient population in the country.

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