Congenital Heart DiseaseCardiac Surgery for Grown-Up Congenital Heart Patients: Survey of 307 Consecutive Operations from 1991 to 1994
Section snippets
Methods
From the database of the Royal Brompton Hospital’s GUCH Unit, which has maintained accurate records of all admissions of adolescents and adults with congenital heart disease since 1980, patients aged ≥16 years (adult by definition in the United Kingdom) who had cardiovascular surgery between January 1991 and December 1994 were identified. All individual patients’ records were examined and data were collated on those who had surgery for congenital heart disease. A first cardiovascular operation
Results
In the 4-year study period, 295 patients (163 men) had 307 operations; 10 had 2 operations and 1 had 3 surgical procedures for aortic valve and ascending aorta complications following endocarditis. Three cardiac surgeons with specific skills in congenital heart disease performed 85% of the operations (38%, 26%, and 21% respectively) and the remaining procedures (mainly aortic valve replacement and closure of atrial septal defect) were performed by 3 cardiac surgeons with no specific training in
Discussion
Many studies have analyzed surgical outcomes in adults with congenital malformations,3, 4, 7, 8, 9, 14but the overall demand and implications of cardiovascular surgery in GUCH patients have not received attention. Schaff and Danielson[17]reviewed, 10 years ago, the Mayo Clinic’s experience with cardiac operations in adults with congenital malformations. More recently, Redington et al[18]reported their experience at the Royal Brompton Hospital, but they underestimated the true data because it
Acknowledgements
We thank Donald E. Mercante, Associate Professor of Biometry, Louisiana State University Medical Center, New Orleans, for statistical support.
References (26)
- et al.
Surgical treatment of adult atrial septal defect: early and long-term results
J Am Coll Cardiol
(1992) - et al.
Juxtaductal aortic coarctation: analysis of 84 patients studied hemodynamically, angiographically, and morphologically after age 1 year
Am J Cardiol
(1983) - et al.
The progression of mild congenital aortic valve stenosis from childhood into adult life
Int J Cardiol
(1993) - et al.
Long-term palliation with the classic Blalock-Taussig shunt
J Thorac Cardiovasc Surg
(1988) - et al.
Results of total correction of tetralogy of Fallot performed in adults. Updated in 1996 by Presbitero P, Prever SB, Contrafatto I, Morea M
Ann Thorac Surg
(1996) - et al.
The use of unstented homograft valves for aortic valve reoperations: review of a twenty-three-year experience
J Thorac Cardiovasc Surg
(1994) - et al.
Obstruction in extracardiac ventriculopulmonary conduits: value of nuclear magnetic resonance imaging with velocity mapping and Doppler echocardiography
J Am Coll Cardiol
(1992) - et al.
Evaluation of Fontan’s operation by magnetic resonance imaging
Am J Cardiol
(1990) - et al.
The natural and “unnatural” history of congenitally corrected transposition
Am J Cardiol
(1990) - et al.
Early and late results of a protocol for simple transposition leading to an atrial switch (Mustard) repair
J Thorac Cardiovasc Surg
(1988)
Incidence, mortality and natural history
The adult with surgically corrected congenital heart disease: long-term care
Cardiol Rev
Tricuspid atresia in adolescents and adults: current state and late complications
Br Heart J
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