Key result
In adult patients with congenital heart disease undergoing primary or redo cardiac surgery, the overall mortality rate was 4% with a 1- and 5-year survival of 96%.
Why the study?
Adult survivors with congenital heart diseases represent a growing population, but published data do not reflect their needs specifically in the Middle East.
Observational (n=98)
No
Cardiac surgery in adults with congenital heart disease is associated with excellent 1- and 5-year survival despite a notable incidence of reversible postoperative complications.
Adds regional ACHD surgical outcome data; leaves open need for multicenter prospective studies before practice change.
OBJECTIVES: Adult survivors with congenital heart diseases represent a large and growing population, yet the published data does not represent the magnitude of their needs specifically in the Middle East. We aimed to review our experience at King Faisal Heart Center, Riyadh, Saudi Arabia for the outcome of adult patients with congenital heart disease who underwent either primary or redo surgery. METHODS: A retrospective study at a tertiary care hospital. All patients who underwent surgery either as the first surgery or as a reoperation for congenital heart disease aged >16 years old at the time of cardiac surgery in the period between January 1, 2008 and January 1, 2013. We looked for incidence of postoperative bleeding, arrhythmias, acute kidney injury, neurological complications, duration of mechanical ventilation, hospital and intensive care unit (ICU) stay. Additionally, we assessed the mortality and 1- and 5-year survival. RESULTS: Ninety-eight patients were included in our study. Fifty-two (53%) were females and 46 (47%) were males, with a mean age of 26 ± 8.4 years and a mean weight of 62 ± 22.8 kg. Forty-nine patients (50%) required redo surgery. Ten patients (10%) suffered from postoperative bleeding. Eight patients (8%) had postoperative arrhythmias, of which two patients required permanent pacemaker insertion. Three patients (3%) had postoperative acute kidney injury and seven patients (7%) suffered from neurological complications. The mean duration of ventilation was 1.3 ± 2 days, with a mean ICU and hospital stay of 3.7 ± 3 days, and 10 ± 7 days, respectively. The overall mortality rate in our series was 4% with a 1-5-year survival of 96%. CONCLUSION: Adult patients with congenital heart disease are prone to immediate postoperative multisystem complications, yet the majority of them are reversible. Their 1- and 5-year survival rate is excellent. Further follow up studies are required.
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Abouelella et al. (2019) conducted an observational in Congenital heart disease (n=98). Cardiac surgery (primary or redo) was evaluated on Overall mortality rate. In adult patients with congenital heart disease undergoing primary or redo cardiac surgery, the overall mortality rate was 4% with a 1- and 5-year survival of 96%.
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