Key result
The proportion of repeat cardiac surgeries in adults with congenital heart disease increased from 24.8% in 1990-1994 to 49.7% in 1998-2002, with an overall mortality of 6.3%.
Population
Patients over 16 years of age undergoing surgery between 1 January 1990 and 31 December 2002 in a dedicated…
Design
Cohort
Follow-up
13 years (1990-2002)
Authors
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Rising repeat surgeries signal increasing ACHD complexity; observational data leaves open interventional cardiology's net effect on surgical volume.
Observational (n=474)
No
Absolute Event Rate: 49.7% vs 24.8%
Despite the rise of interventional cardiology, the volume of adult congenital heart surgery remained stable over 13 years, though case complexity and the proportion of repeat operations significantly increased.
Sadeesh Srinathan (2005) conducted an observational in Grown ups with congenital heart disease (GUCH) (n=474). Cardiac surgery in later time period (1998-2002) vs. Cardiac surgery in earlier time period (1990-1994) was evaluated on Proportion of repeat operations. The proportion of repeat cardiac surgeries in adults with congenital heart disease increased from 24.8% in 1990-1994 to 49.7% in 1998-2002, with an overall mortality of 6.3%.
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