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 journalArticle

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

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Cardiac Volume
Reoperation
Heart Diseases
Cyanosis
Length of Stay
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Padalino, M. A., Cogo, P. E., Daliento, L., Speggiorin, S., Vida, V. L., Maschietto, N., ... Stellin, G. (2010). Congenital heart disease in adults: An 8-year surgical experience in a medium-volume cardiac center. Journal of Cardiovascular Medicine, 11(3), 175-181. https://doi.org/10.2459/JCM.0b013e328333089b

Congenital heart disease in adults : An 8-year surgical experience in a medium-volume cardiac center. / Padalino, Massimo A.; Cogo, Paola E.; Daliento, Luciano; Speggiorin, Simone; Vida, Vladimiro L.; Maschietto, Nicola; Reffo, Elena; Stellin, Giovanni.

In: Journal of Cardiovascular Medicine, Vol. 11, No. 3, 03.2010, p. 175-181.

Research output: Contribution to journalArticle

Padalino, MA, Cogo, PE, Daliento, L, Speggiorin, S, Vida, VL, Maschietto, N, Reffo, E & Stellin, G 2010, 'Congenital heart disease in adults: An 8-year surgical experience in a medium-volume cardiac center', Journal of Cardiovascular Medicine, vol. 11, no. 3, pp. 175-181. https://doi.org/10.2459/JCM.0b013e328333089b
Padalino, Massimo A. ; Cogo, Paola E. ; Daliento, Luciano ; Speggiorin, Simone ; Vida, Vladimiro L. ; Maschietto, Nicola ; Reffo, Elena ; Stellin, Giovanni. / Congenital heart disease in adults : An 8-year surgical experience in a medium-volume cardiac center. In: Journal of Cardiovascular Medicine. 2010 ; Vol. 11, No. 3. pp. 175-181.
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