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

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 out...

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Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 31(2019), 3 vom: 14. Juli, Seite 145-150
1. Verfasser: Abouelella, Raja Said (VerfasserIn)
Weitere Verfasser: Habib, Eiad Ahmed, AlHalees, Zohair Yousef, Alanazi, Musleh Naza, Ibhais, Mohamed Essa, Alwadai, Abdullah Hassan
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Adults Cardiac surgery Congenital heart disease Outcome
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520 |a 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 
520 |a 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 
520 |a 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% 
520 |a 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 
650 4 |a Journal Article 
650 4 |a Adults 
650 4 |a Cardiac surgery 
650 4 |a Congenital heart disease 
650 4 |a Outcome 
700 1 |a Habib, Eiad Ahmed  |e verfasserin  |4 aut 
700 1 |a AlHalees, Zohair Yousef  |e verfasserin  |4 aut 
700 1 |a Alanazi, Musleh Naza  |e verfasserin  |4 aut 
700 1 |a Ibhais, Mohamed Essa  |e verfasserin  |4 aut 
700 1 |a Alwadai, Abdullah Hassan  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Journal of the Saudi Heart Association  |d 1999  |g 31(2019), 3 vom: 14. Juli, Seite 145-150  |w (DE-627)NLM098225227  |x 1016-7315  |7 nnns 
773 1 8 |g volume:31  |g year:2019  |g number:3  |g day:14  |g month:07  |g pages:145-150 
856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2019.05.003  |3 Volltext 
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