Why the study?
What are the rates of cardiovascular surgery and long-term survival in adults with congenital heart disease, and do they differ by sex?
What are the rates of cardiovascular surgery and long-term survival in adults with congenital heart disease, and do they differ by sex?
A significant proportion of young adults with congenital heart disease require cardiovascular surgery, with men facing higher surgical rates and worse long-term survival after reoperation than women.
May support sex-specific surveillance in adult congenital heart disease; leaves open whether interventions improve male outcomes.
Of predominantly young adults with congenital heart disease, one fifth required cardiovascular surgery during a 15-year period; in 40%, the surgery was a reoperation. Men with congenital heart disease have a higher chance of undergoing surgery in adulthood and have a consistently worse long-term survival after reoperations in adulthood compared with women.
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Zomer et al. (2011) studied this question.
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