Seventeen years of adult congenital heart surgery: a single centre experience☆

Abstract

Surgery in adult CHD patients can be performed with low operative mortality and good clinical outcome. EuroSCORE is not a good model for risk assessment in this group of patients.

Adults with congenital heart disease undergoing first surgery: prevalence and outcomes at a tertiary hospital

“…This result is higher than ours, but the group Putman evaluated the mechanical ventilation as a complication and it was not done by us. Another factor to explain this difference was the presence of complex cases in the study by Putman et al [9], which certainly are related to increased morbidity, although this inference was not reported in the study. The infection rate was 2.8% of them being below the presented in this study.…”

“…However, several authors demonstrate low mortality rate, even in our country [1,4,6,9,[13][14][15][16], even when excluding patients treated by ostium secundum IAC, for these represent a simpler disease and low mortality. In our group there were also low mortality (2.5%), emphasizing that it is a relatively new service.…”

“…Only the incidence of infection was not reported by the group. However, the group of Putman et al [9] in a 17-year experience with 830 patients with CHDA, reported hospital morbidity of 33.1%, with cardiac arrhythmia being the most frequent. This result is higher than ours, but the group Putman evaluated the mechanical ventilation as a complication and it was not done by us.…”

Avaliação do tratamento cirúrgico da cardiopatia congênita em pacientes com idade superior a 16 anos

“…In this study, the fact that the patient of higher complexity has been treated by a pediatric surgeon had an impact on the result observed when we analyzed mortality. These data, however, do not allow a deeper analysis of the results regarding complications and the surgical effectiveness 21 . In this analysis, we used the score of complexity described for congenital heart diseases in general, the Aristotle Basic Score (ABC).…”

Resource Use Among Adult Congenital Heart Surgery Admissions in Pediatric Hospitals

“…14,[32][33][34][35][36][37][38][39][40] Though the RACHS-1 risk categories performed well in its discriminatory ability with regard to identifying high resource use admissions, these categories were not specifically designed for ACH surgery admissions. At present, however, there is no universally agreed-on method of risk adjustment for surgical case complexity in the ACH surgery population.…”