Italian survey on cardiac surgery for adults with congenital heart disease

which surgery, where and by whom?

Alessandro Giamberti, Massimo Chessa, Carmelina Chiarello, Adriano Cipriani, Adriano Carotti, Lorenzo Galletti, Gaetano Gargiulo, Stefano Maria Marianeschi, Carlo Pace Napoleone, Massimo Padalino, Gianluigi Perri, Giovanni Battista Luciani

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: The population of ageing adults with congenital heart disease (ACHD) is increasing; surgery in these patients presents major difficulties in management. A great debate has developed about whether these patients should be cared for at an adult or paediatric hospital and by an acquired or congenital cardiac surgeon. We analysed data of the surgical treatment of ACHD from the Italian cardiac surgery centres in 2016, focusing on the type of surgery performed, where these patients were operated on and by whom.

METHODS: Ninety-two Italian cardiac surgery centres were contacted and 70 centres participated in this study. We collected data on the types of cardiac operations performed in congenital heart defect patients older than 18 years. In 2016, a total of 913 patients with ACHD were operated on: 440 by congenital cardiac surgeons (group I) in centres with paediatric and adult cardiac surgery units, and 473 by adult cardiac surgeons (group II) in centres with exclusively adult cardiac surgery units.

RESULTS: Pathologies of the right ventricular outflow tract were the most frequent diseases treated in group I and pathologies of the left ventricular outflow tract in group II. Group I included more complex and heterogeneous cases than group II. Surgery for ACHD represented 12% of the activity of congenital cardiac surgeons and only 1% of the activity of adult cardiac surgeons.

CONCLUSIONS: In Italy, ACHD patients are operated on both by congenital and adult cardiac surgeons. Congenital cardiac surgeons working in centres with both paediatric and adult cardiac surgery are more involved with ACHD patients and with more complex cases.

Original languageEnglish
JournalInteractive Cardiovascular and Thoracic Surgery
DOIs
Publication statusE-pub ahead of print - Mar 25 2019

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Thoracic Surgery
Heart Diseases
Pediatrics
Pathology
Pediatric Hospitals
Congenital Heart Defects
Surveys and Questionnaires
Surgeons
Italy
Population

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Italian survey on cardiac surgery for adults with congenital heart disease : which surgery, where and by whom? / Giamberti, Alessandro; Chessa, Massimo; Chiarello, Carmelina; Cipriani, Adriano; Carotti, Adriano; Galletti, Lorenzo; Gargiulo, Gaetano; Marianeschi, Stefano Maria; Pace Napoleone, Carlo; Padalino, Massimo; Perri, Gianluigi; Luciani, Giovanni Battista.

In: Interactive Cardiovascular and Thoracic Surgery, 25.03.2019.

Research output: Contribution to journalArticle

Giamberti, Alessandro ; Chessa, Massimo ; Chiarello, Carmelina ; Cipriani, Adriano ; Carotti, Adriano ; Galletti, Lorenzo ; Gargiulo, Gaetano ; Marianeschi, Stefano Maria ; Pace Napoleone, Carlo ; Padalino, Massimo ; Perri, Gianluigi ; Luciani, Giovanni Battista. / Italian survey on cardiac surgery for adults with congenital heart disease : which surgery, where and by whom?. In: Interactive Cardiovascular and Thoracic Surgery. 2019.
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title = "Italian survey on cardiac surgery for adults with congenital heart disease: which surgery, where and by whom?",
abstract = "OBJECTIVES: The population of ageing adults with congenital heart disease (ACHD) is increasing; surgery in these patients presents major difficulties in management. A great debate has developed about whether these patients should be cared for at an adult or paediatric hospital and by an acquired or congenital cardiac surgeon. We analysed data of the surgical treatment of ACHD from the Italian cardiac surgery centres in 2016, focusing on the type of surgery performed, where these patients were operated on and by whom.METHODS: Ninety-two Italian cardiac surgery centres were contacted and 70 centres participated in this study. We collected data on the types of cardiac operations performed in congenital heart defect patients older than 18 years. In 2016, a total of 913 patients with ACHD were operated on: 440 by congenital cardiac surgeons (group I) in centres with paediatric and adult cardiac surgery units, and 473 by adult cardiac surgeons (group II) in centres with exclusively adult cardiac surgery units.RESULTS: Pathologies of the right ventricular outflow tract were the most frequent diseases treated in group I and pathologies of the left ventricular outflow tract in group II. Group I included more complex and heterogeneous cases than group II. Surgery for ACHD represented 12{\%} of the activity of congenital cardiac surgeons and only 1{\%} of the activity of adult cardiac surgeons.CONCLUSIONS: In Italy, ACHD patients are operated on both by congenital and adult cardiac surgeons. Congenital cardiac surgeons working in centres with both paediatric and adult cardiac surgery are more involved with ACHD patients and with more complex cases.",
author = "Alessandro Giamberti and Massimo Chessa and Carmelina Chiarello and Adriano Cipriani and Adriano Carotti and Lorenzo Galletti and Gaetano Gargiulo and Marianeschi, {Stefano Maria} and {Pace Napoleone}, Carlo and Massimo Padalino and Gianluigi Perri and Luciani, {Giovanni Battista}",
note = "{\circledC} The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.",
year = "2019",
month = "3",
day = "25",
doi = "10.1093/icvts/ivz045",
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journal = "Interactive Cardiovascular and Thoracic Surgery",
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TY - JOUR

T1 - Italian survey on cardiac surgery for adults with congenital heart disease

T2 - which surgery, where and by whom?

AU - Giamberti, Alessandro

AU - Chessa, Massimo

AU - Chiarello, Carmelina

AU - Cipriani, Adriano

AU - Carotti, Adriano

AU - Galletti, Lorenzo

AU - Gargiulo, Gaetano

AU - Marianeschi, Stefano Maria

AU - Pace Napoleone, Carlo

AU - Padalino, Massimo

AU - Perri, Gianluigi

AU - Luciani, Giovanni Battista

N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

PY - 2019/3/25

Y1 - 2019/3/25

N2 - OBJECTIVES: The population of ageing adults with congenital heart disease (ACHD) is increasing; surgery in these patients presents major difficulties in management. A great debate has developed about whether these patients should be cared for at an adult or paediatric hospital and by an acquired or congenital cardiac surgeon. We analysed data of the surgical treatment of ACHD from the Italian cardiac surgery centres in 2016, focusing on the type of surgery performed, where these patients were operated on and by whom.METHODS: Ninety-two Italian cardiac surgery centres were contacted and 70 centres participated in this study. We collected data on the types of cardiac operations performed in congenital heart defect patients older than 18 years. In 2016, a total of 913 patients with ACHD were operated on: 440 by congenital cardiac surgeons (group I) in centres with paediatric and adult cardiac surgery units, and 473 by adult cardiac surgeons (group II) in centres with exclusively adult cardiac surgery units.RESULTS: Pathologies of the right ventricular outflow tract were the most frequent diseases treated in group I and pathologies of the left ventricular outflow tract in group II. Group I included more complex and heterogeneous cases than group II. Surgery for ACHD represented 12% of the activity of congenital cardiac surgeons and only 1% of the activity of adult cardiac surgeons.CONCLUSIONS: In Italy, ACHD patients are operated on both by congenital and adult cardiac surgeons. Congenital cardiac surgeons working in centres with both paediatric and adult cardiac surgery are more involved with ACHD patients and with more complex cases.

AB - OBJECTIVES: The population of ageing adults with congenital heart disease (ACHD) is increasing; surgery in these patients presents major difficulties in management. A great debate has developed about whether these patients should be cared for at an adult or paediatric hospital and by an acquired or congenital cardiac surgeon. We analysed data of the surgical treatment of ACHD from the Italian cardiac surgery centres in 2016, focusing on the type of surgery performed, where these patients were operated on and by whom.METHODS: Ninety-two Italian cardiac surgery centres were contacted and 70 centres participated in this study. We collected data on the types of cardiac operations performed in congenital heart defect patients older than 18 years. In 2016, a total of 913 patients with ACHD were operated on: 440 by congenital cardiac surgeons (group I) in centres with paediatric and adult cardiac surgery units, and 473 by adult cardiac surgeons (group II) in centres with exclusively adult cardiac surgery units.RESULTS: Pathologies of the right ventricular outflow tract were the most frequent diseases treated in group I and pathologies of the left ventricular outflow tract in group II. Group I included more complex and heterogeneous cases than group II. Surgery for ACHD represented 12% of the activity of congenital cardiac surgeons and only 1% of the activity of adult cardiac surgeons.CONCLUSIONS: In Italy, ACHD patients are operated on both by congenital and adult cardiac surgeons. Congenital cardiac surgeons working in centres with both paediatric and adult cardiac surgery are more involved with ACHD patients and with more complex cases.

U2 - 10.1093/icvts/ivz045

DO - 10.1093/icvts/ivz045

M3 - Article

JO - Interactive Cardiovascular and Thoracic Surgery

JF - Interactive Cardiovascular and Thoracic Surgery

SN - 1569-9293

ER -