Adult Congenital Heart Disease Outpatient Clinic. Descriptive Analysis of A 12-Year Experience in Brazil

Amaral, Fernando; Manso, Paulo Henrique; Jacob, Maria Fernanda Balthazar; Schmidt, André

doi:10.21470/1678-9741-2019-0047

Cited by 2 publications

(9 citation statements)

References 22 publications

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“…Most defects belonged to the moderate complexity category, differently from the findings by Amaral et al [ 16 ] , in which predominated defects belonging to the low complexity category. Acyanotic CHD was significantly more frequent than cyanotic heart disease.…”

Section: Discussioncontrasting

confidence: 93%

“…Clinical demographic profile of the cohort studied herein showed significantly higher frequency of young adults, mainly women, similar to the findings observed in the southeastern Brazilian city of Ribeirão Preto [ 16 ] and in the Asian country of Taiwan [ 4 ] . When analysing patients’ origin, there was no difference between Fortaleza, including metropolitan area, and other towns.…”

Section: Discussionsupporting

confidence: 84%

“…Many of this new generation of postoperative adult patients will evolve with future need for invasive reintervention [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 12 ] . In Brazil, in addition to the need to cope with the new reality, old challenges like unrepaired patients due to late diagnosis and related complications still represent great concern [ 14 , 15 , 16 , 17 ] .…”

Section: Discussionmentioning

confidence: 99%

“…The majority of patients had early diagnosis and nearly all the ones who needed surgery had been repaired in childhood, the opposite to that observed in patients with ASD. Literature highlights septal defects, specially ostium secundum ASD and VSD as the most frequent CHD in adults [ 2 , 3 , 4 , 14 , 15 , 16 ] .…”

Section: Discussionmentioning

confidence: 99%

“…In Brazil, publication is scarce, so little is known about the profile and frequency of adults with CHD [ 13 , 14 , 15 , 16 , 17 ] . It is possible that many patients repaired in childhood are not receiving any specialized assistance and many others did not undergo invasive treatment.…”

Section: Introductionmentioning

confidence: 99%

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Adult Congenital Heart Disease: Report from a Public Reference Hospital in Northeastern Brazil

Diogenes,

Valente,

Rocha

2023

Braz J Cardiovasc Surg

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Introduction The increasing worldwide number of adults with congenital heart disease (CHD) demands greater attention from health professionals. The purpose of this report is to describe the clinical demographic profile, frequency, and invasive treatment status of adults with CHD in a public reference hospital in northeastern Brazil. Methods This is a retrospective cross-sectional study including 704 patients attended between August 2016 and August 2020. Data were collected from virtual database. Results Patients’ age varied from 17 to 81 years (mean 32±14; median 27 years); 294 (41.8%) patients were male, and 410 (58,2%) were female; 230 (32,7%) had diagnosis from age 18 and up. Cardiac complexity categories were “simple defects” (134 [19%] patients), “moderate complexity” (503 [71.5%]), and “great complexity” (67 [9.5%]). Atrial septal defect (ASD) was diagnosed in 216 (30.7%) patients, ventricular septal defect (VSD) in 101 (14.3%), tetralogy of Fallot in 93 (13.2%), and other CHD in 294 (41.8%). New York Heart Association (NYHA) functional classes were I (401 [57%]), II (203 [28.8%]), III (76 [10.8%]), and IV (24 [3.4%]). Complications were arrhythmias (173 [24%]) and severe pulmonary hypertension (69 [9.8%]). Invasive treatments were corrective surgery (364 (51.6%]), reoperation (28 [4.0%]), palliation (11 [1.6%]), interventional catheterization (12 [1.7%]), surgery plus interventional catheterization (5 [0.7%]), and preoperation (91 [12.9%]). Treatment was not required in 102 (14,5%) patients, and 91 (12.9%) were inoperable. Conclusion The leading diagnosis was ASD. Frequency of unrepaired patients was high, mainly ASD, due to late diagnosis, which favored complications and denotes a matter of great concern.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adult Congenital Heart Disease: Report from a Public Reference Hospital in Northeastern Brazil

Diogenes,

Valente,

Rocha

2023

Braz J Cardiovasc Surg

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Comparison of Short-Term Outcomes of Transcatheter versus Surgical Closure of Atrial Septum Defect at a Tertiary Cardiac Care Facility

Saleem,

Younas,

Asma

et al. 2023

PAFMJ

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Objective: To compare the short-term outcomes of transcatheter versus surgical closure of atrial septal defect (ASD) at a tertiary cardiac care facility in South Punjab, Pakistan. Study Design: Prospective comparative study. Place and Duration of the Study: Department of Paediatric Cardiology and Paediatric Cardiac Surgery, Chaudhary Pervez Elahi Institute of Cardiology, Multan Pakistan, from Jul 2019 to Jun 2021. Methodology: A total of 110 patients with moderate to large isolated secundum ASDs without severe pulmonary hypertension and planned to undergo closure of secundum ASD by either surgical approach or device closure were included. All surgical and transcatheter procedures were performed adopting standard techniques. Intra-procedural or post-procedural outcomes were noted. Results: In a total of 110 patients, 59(53.6%) underwent transcatheter closure of ASD, while surgical closure was done in the remaining 51(46.4%) patients. Post-procedural complications were significantly more in the Surgical Closure Group in comparison to the Transcatheter Closure Group, [14(27.5%) vs 5(8.5%) (p=0.026)]. None of the cases in the Transcatheter Closure Group required inotropes in the post-procedure period in comparison to 24(47.1%) cases (p<0.001). The total cost of treatment was significantly higher in transcatheter closure patients compared to surgical closure patients (1504±60.4 US$ versus 1448±75.4 US$, p<0.001). Overall, successful closure was noted in 108(98.2%) cases. No mortality was recorded. Conclusion: Overall, short-term outcomes of transcatheter ASD closure were comparable to the surgical approach, but patients with transcatheter ASD closure had significantly less duration of hospitalization and low rates of post-procedural complications.Keywords: Atrial septum defect, Mortality, Surgical closure, Transcatheter closure.

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Adult Congenital Heart Disease Outpatient Clinic. Descriptive Analysis of A 12-Year Experience in Brazil

Cited by 2 publications

References 22 publications

Adult Congenital Heart Disease: Report from a Public Reference Hospital in Northeastern Brazil

Adult Congenital Heart Disease: Report from a Public Reference Hospital in Northeastern Brazil

Comparison of Short-Term Outcomes of Transcatheter versus Surgical Closure of Atrial Septum Defect at a Tertiary Cardiac Care Facility

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