دورية أكاديمية
Ten-year experience with surgical treatment of adults with congenital cardiac disease.
| العنوان: | Ten-year experience with surgical treatment of adults with congenital cardiac disease. |
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| المؤلفون: | Wauthy P; Department of Cardiac Surgery, Brugmann University Hospital, Bruxelles, Belgium. pierre.wauthy@chu-brugmann.be, Massaut J, Sanoussi A, Demanet H, Morissens M, Damry N, Dessy H, Malekzadeh-Milani SG, Deuvaert FE |
| المصدر: | Cardiology in the young [Cardiol Young] 2011 Feb; Vol. 21 (1), pp. 39-45. Date of Electronic Publication: 2010 Oct 06. |
| نوع المنشور: | Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 9200019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1467-1107 (Electronic) Linking ISSN: 10479511 NLM ISO Abbreviation: Cardiol Young Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2005->: Cambridge : Cambridge University Press Original Publication: Chapel Hill, NC : World Publishers, c1991- |
| مواضيع طبية MeSH: | Cardiac Surgical Procedures*, Heart Defects, Congenital/*surgery, Adult ; Belgium/epidemiology ; Female ; Follow-Up Studies ; Heart Defects, Congenital/mortality ; Humans ; Male ; Retrospective Studies ; Survival Rate/trends ; Time Factors ; Treatment Outcome |
| مستخلص: | The number of adults with congenital cardiac disease continues to increase, and adult patients are now more numerous than paediatric patients. We sought to identify risk factors for perioperative death and report our results with surgical management of adult patients with congenital cardiac disease. We retrospectively analysed in-hospital data for 244 consecutive adult patients who underwent surgical treatment of congenital cardiac disease in our centre between January, 1998 and December, 2007. The mean patient age was 27.2 plus or minus 11.9 years, 29% were in functional class III or IV, and 25% were cyanosed. Of the patients, half were operated on for the first time. A total of 61% of patients underwent curative operations, 36% a reoperation after curative treatment, and 3% a palliative operation. Overall mortality was 4.9%. Predictive factors for hospital death were functional class, cyanosis, non-sinus rhythm, a history of only palliative previous operation(s), and an indication for palliative treatment. Functional class, cyanosis, type of initial congenital cardiac disease (single ventricle and double-outlet right ventricle), and only palliative previous operation were risk factors for prolonged intensive care stay (more than 48 hours). The surgical management of adult patients with congenital cardiac disease has improved during recent decades. These generally young patients, with a complex pathology, today present a low post-operative morbidity and mortality. Patients having undergone palliative surgery and reaching adulthood without curative treatment present with an increased risk of morbidity and mortality. Univentricular hearts and double-outlet right ventricles were associated with the highest morbidity. |
| تواريخ الأحداث: | Date Created: 20101007 Date Completed: 20110517 Latest Revision: 20110106 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1017/S1047951110001332 |
| PMID: | 20923595 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1467-1107 |
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| DOI: | 10.1017/S1047951110001332 |