Congenital heart disease in adults: An 8-year surgical experience in a medium-volume cardiac center

Massimo A. Padalino, Paola E. Cogo, Luciano Daliento, Simone Speggiorin, Vladimiro L. Vida, Nicola Maschietto, Elena Reffo, Giovanni Stellin

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: We report our 8-year experience with surgery for congenital heart disease in adults in a medium-volume surgical center. Methods: We collected data of 161 consecutive patients who underwent 230 procedures from January 1997 to December 2004. Surgical procedures were divided into two groups: repair (85.7%) and reoperation (14.3). Results: There was only one in-hospital death (Fontan revision, in reoperation group). At a mean follow-up time of 56 ± 30 months, overall freedom from any kind of complication is 76.5%. Cox analysis showed that incremental risk factors were preoperative cyanosis, reoperation, and length of ICU stay (hazard ratio = 4.47, 3.34 and 1.49, respectively; P <0.001 in all), whereas decremental risk factors were preoperative New York Heart Association class 1 (hazard ratio = 0.328, P <0.001) and surgery for 'septal defect' (hazard ratio = 0.26, P = 0.02). Conclusion: Surgery for congenital heart disease in adults seems to be an overall well-tolerated and a low-risk treatment, with overall good mid-term clinical results.

Original languageEnglish
Pages (from-to)175-181
Number of pages7
JournalJournal of Cardiovascular Medicine
Volume11
Issue number3
DOIs
Publication statusPublished - Mar 2010

Keywords

  • Adult age
  • Clinical outcome
  • Congenital heart disease
  • Surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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