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Surgical outcome for congenital heart malformations in the adult age: a multicentric European study.
- Source :
-
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual [Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu] 2004; Vol. 7, pp. 95-101. - Publication Year :
- 2004
-
Abstract
- Congenital heart diseases are currently treated in the pediatric age. However, a conspicuous number of patients requires treatment in the adult age. This study has been undertaken by members of the European Congenital Heart Surgeons Association with the aim of evaluating the impact of cardiac surgery in this particular age group. We have collected data from 1,247 patients who underwent 1,287 operations during a 5-year period between January 1, 1997 and December 31, 2001. Patients were divided into three groups: (1) palliative procedures (4.4%), operation performed to improve patients' clinical status without restoring normal anatomy or physiology; (2) repair (79.3%), operation performed to achieve an anatomic or physiologic repair with separation of the pulmonary from the systemic circulation (included in this group are also Fontan-type repair and one and a half ventricle repair); (3) reoperation (16.3%), all the reoperations performed after repair (either anatomic or physiologic). Hospital mortality (within 30 days) was 2.4% (range, 0% to 15.3% in different centers). Kaplan-Meier estimates shows a 94% survival at 4 years, which is higher for repair (95%) as compared with reoperations (92%) or palliations (88%). Surgery for congenital heart disease in the adult age is a safe, beneficial, and low-risk treatment that modifies patients' natural history by improving their clinical status.
- Subjects :
- Adolescent
Adult
Age Factors
Aged
Cardiac Surgical Procedures methods
Cardiac Surgical Procedures mortality
Europe epidemiology
Female
Hospital Mortality
Humans
Male
Middle Aged
Reoperation
Survival Analysis
Treatment Outcome
Cardiac Surgical Procedures statistics & numerical data
Heart Defects, Congenital epidemiology
Heart Defects, Congenital surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1092-9126
- Volume :
- 7
- Database :
- MEDLINE
- Journal :
- Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
- Publication Type :
- Academic Journal
- Accession number :
- 15283358
- Full Text :
- https://doi.org/10.1053/j.pcsu.2004.02.016