Cardiac surgery for grown-up congenital heart patients: Survey of 307 consecutive operations from 1991 to 1994

Annie Dore, D. Luke Glancy, Susan Stone, Victor Menashe, Jane Somerville

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

The cardiac surgery performed from 1991 to 1994 in a unit dedicated specifically for grown-up congenital heart (GUCH) patients was reviewed to determine the frequency of various procedures, incidence of first and reoperations, early mortality, and its determinants. The 295 patients, aged 16 to 77 years (31 ± 13), had 307 operations. First operations (n = 128, 42%) were most commonly for closure of atrial septal defect (n = 40), aortic valve replacement (n = 31) or repair of aortic coarctation (n = 14). Reoperations were more frequent (n = 179, 58%) and divided among first corrective repair (n = 49), reoperation after corrective repair (n = 115), and further palliation (n = 15). First corrective surgery was mainly for aortic valve disease (n = 17), Fallot (n = 7), and lesions needing a Fortran procedure (n = 5). Reoperations after corrective repair were needed for aortic valve disease (n = 43), right-sided conduit (n = 30), or recoarctation (n = 11). Early mortality was influenced by presence of central cyanosis (9 of 49, 18% in cyanotic patients; 12 of 258, 5% in acyanotic; p 2 = 13%; p = 0.003), and increasing age of patients. Cyanotic patients had more serious postoperative complications: pleural and pericardial effusions, severe bleeding, renal insufficiency, and sepsis, and their hospital stay was longer compared with acyanotic patients (20 ± 17 vs 11 ± 8 days; p

Original languageEnglish (US)
Pages (from-to)906-913
Number of pages8
JournalAmerican Journal of Cardiology
Volume80
Issue number7
DOIs
StatePublished - Oct 1 1997
Externally publishedYes

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Thoracic Surgery
Reoperation
Aortic Valve
Aortic Diseases
Cyanosis
Aortic Coarctation
Pericardial Effusion
Atrial Heart Septal Defects
Mortality
Pleural Effusion
Renal Insufficiency
Surveys and Questionnaires
Length of Stay
Sepsis
Hemorrhage
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Cardiac surgery for grown-up congenital heart patients : Survey of 307 consecutive operations from 1991 to 1994. / Dore, Annie; Glancy, D. Luke; Stone, Susan; Menashe, Victor; Somerville, Jane.

In: American Journal of Cardiology, Vol. 80, No. 7, 01.10.1997, p. 906-913.

Research output: Contribution to journalArticle

Dore, Annie ; Glancy, D. Luke ; Stone, Susan ; Menashe, Victor ; Somerville, Jane. / Cardiac surgery for grown-up congenital heart patients : Survey of 307 consecutive operations from 1991 to 1994. In: American Journal of Cardiology. 1997 ; Vol. 80, No. 7. pp. 906-913.
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