Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul;31(3):145-150.
doi: 10.1016/j.jsha.2019.05.003. Epub 2019 May 18.

Outcome of cardiac surgery in adults with congenital heart disease: A single center experience

Raja Said Abouelella  1 , Eiad Ahmed Habib  2 , Zohair Yousef AlHalees  3 , Musleh Naza Alanazi  1 , Mohamed Essa Ibhais  1 , Abdullah Hassan Alwadai  1
Affiliations

Outcome of cardiac surgery in adults with congenital heart disease: A single center experience

Raja Said Abouelella et al. J Saudi Heart Assoc. 2019 Jul.

Abstract

Objectives: Adult survivors with congenital heart diseases represent a large and growing population, yet the published data does not represent the magnitude of their needs specifically in the Middle East. We aimed to review our experience at King Faisal Heart Center, Riyadh, Saudi Arabia for the outcome of adult patients with congenital heart disease who underwent either primary or redo surgery.

Methods: A retrospective study at a tertiary care hospital. All patients who underwent surgery either as the first surgery or as a reoperation for congenital heart disease aged >16 years old at the time of cardiac surgery in the period between January 1, 2008 and January 1, 2013. We looked for incidence of postoperative bleeding, arrhythmias, acute kidney injury, neurological complications, duration of mechanical ventilation, hospital and intensive care unit (ICU) stay. Additionally, we assessed the mortality and 1- and 5-year survival.

Results: Ninety-eight patients were included in our study. Fifty-two (53%) were females and 46 (47%) were males, with a mean age of 26 ± 8.4 years and a mean weight of 62 ± 22.8 kg. Forty-nine patients (50%) required redo surgery. Ten patients (10%) suffered from postoperative bleeding. Eight patients (8%) had postoperative arrhythmias, of which two patients required permanent pacemaker insertion. Three patients (3%) had postoperative acute kidney injury and seven patients (7%) suffered from neurological complications. The mean duration of ventilation was 1.3 ± 2 days, with a mean ICU and hospital stay of 3.7 ± 3 days, and 10 ± 7 days, respectively. The overall mortality rate in our series was 4% with a 1-5-year survival of 96%.

Conclusion: Adult patients with congenital heart disease are prone to immediate postoperative multisystem complications, yet the majority of them are reversible. Their 1- and 5-year survival rate is excellent. Further follow up studies are required.

Keywords: Adults; Cardiac surgery; Congenital heart disease; Outcome.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Number of patients who needed redo surgery and their diagnosis. SAM = subaortic membrane; TOF = tetralogy of Fallot; VSD = ventricular septal defect; OR = operation.
Figure 2
Figure 2
Postoperative complications for all patients. AKI = acute kidney injury; OR = operation.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Gilboa S.M., Devine O.J., Kucik J.E., Oster M.E., Riehle-Colarusso T., Nembhard W.N. Congenital heart defects in the United States. Circulation. 2016;134:101–109. - PMC - PubMed
    2. Gilboa SM, Devine OJ, Kucik JE, Oster ME, Riehle-Colarusso T, Nembhard WN, et al. Congenital heart defects in the United States. Circulation 2016;134:101–9. - PMC - PubMed
    1. Moons P., Engelfriet P., Kaemmerer H., Meijboom F.J., Oechslin E., Mulder B.J.M. Delivery of care for adult patients with congenital heart disease in Europe: results from the Euro Heart Survey. Eur Heart J. 2006;27:1324–1330. - PubMed
    2. Moons P, Engelfriet P, Kaemmerer H, Meijboom FJ, Oechslin E, Mulder BJM, et al. Delivery of care for adult patients with congenital heart disease in Europe: results from the Euro Heart Survey. Eur Heart J 2006;27:1324–30. - PubMed
    1. Hoffman J.I.E., Kaplan S., Liberthson R.R. Prevalence of congenital heart disease. Am Heart J. 2004;147:425–439. - PubMed
    2. Hoffman JIE, Kaplan S, Liberthson RR. Prevalence of congenital heart disease. Am Heart J 2004;147:425–39. - PubMed
    1. Chessa M., Cullen S., Deanfield J., Frigiola A., Negura D.G., Butera G. The care of adult patients with congenital heart defects: a new challenge. Ital Heart J. 2004;5:178–182. - PubMed
    2. Chessa M, Cullen S, Deanfield J, Frigiola A, Negura DG, Butera G, et al. The care of adult patients with congenital heart defects: a new challenge. Ital Heart J 2004;5:178–82. - PubMed
    1. Holst K.A., Dearani J.A., Burkhart H.M., Connolly H.M., Warnes C.A., Li Z. factors and early outcomes of multiple reoperations in adults with congenital heart disease. Ann Thorac Surg. 2011;92:122–128. discussion 129–30. - PubMed
    2. Holst KA, Dearani JA, Burkhart HM, Connolly HM, Warnes CA, Li Z, et al. Risk factors and early outcomes of multiple reoperations in adults with congenital heart disease. Ann Thorac Surg 2011;92:122–8; discussion 129–30. - PubMed

LinkOut - more resources