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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2013
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398941890012 |
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Table of Contents:
- Adult congenital heart disease: experience with the surgical approach Fernando Tadeu Vasconcelos Amaral Alfredo José Rodrigues Paulo Henrique Manso André Schmidt Maria Fernanda Kolachinski Clovis Carbone Ricardo Nilson Sgarbieri Walter Vilela de Andrade Vicente Medicina Adult congenital Cardiac sur Heart defects gical procedures Objective: To report the institution experience with the sur - gical treatment of adults with congenital heart disease due to the increasing number of these patients and the need for a better discussion of the subject. Methods: Retrospective analysis describing demographic data, risk factors and results. Results: 191 patients between 16 and 74 years old were op - erated on. Primary correction was done in 171 cases, 93 (55%) for atrial septal defect repair. Among 20 (12%) reoperations, pulmonary valve replacement was done in six cases. The mean intensive care and hospital stay were 2.7 and 8.5 days respec - tively, significantly greater for the reoperated cases ( P =0.001). The mean bypass and clamping times were 68.6 and 44.7 min - utes respectively, greater for the reoperated cases ( P <0.0001 and P =0.0003 respectively). Hospital mortality was 4.2% and male sex, functional class III-IV and older age at operation were predictive risk factors. Significant complications were more fre - quent in the reoperated cases ( P <0.003), mainly atrial flutter and fibrillation. Among 183 patients discharged, 149 (82%) are being followed and atrial flutter and fibrillation are common. The mean functional class value improved significantly after operation (1.66 to 1.11; P <0.0001). The estimated survival was 96.2% in six years. Conclusion: Heart surgery in adults with congenital heart disease can be accomplished with low mortality and functional class improvement. Immediate and late complications are fre - quent. Multicenter studies are important to better characterize this patient population in the country. 2013 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941890012 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.28