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Adult survivors of moderate and great complexity congenital heart disease undergoing general surgery procedures: How do they fare?

      Highlights

      • Survival even with moderate/great complexity congenital heart disease is now common.
      • Adult survivors of congenital heart disease can require general surgery operations.
      • The most common general surgery procedures were cholecystectomy and herniorrhaphy.
      • These patients experienced low in-hospital mortality at 2.5%.
      • Only 11.9% of patients experienced an in-hospital complication.

      Abstract

      Background

      Patients with complex congenital heart disease (CHD) are now commonly surviving well into adulthood. We describe the clinical characteristics and outcomes for a cohort of adult patients with moderate and great complexity CHD undergoing general surgery procedures.

      Methods

      The electronic records of two tertiary centers were queried to identify adult patients with moderate and great complexity CHD who underwent a general surgery procedure between 2007 and 2017.

      Results

      118 adult patients were included in the analysis. The mean age was 36 ± 17 years and 49.2% were male. The most common cardiac diagnoses were pulmonary valve anomaly (24.6%), tetralogy of Fallot (18.6%), coarctation of the aorta (15.3%) and common/single ventricle (10.2%). The most common general surgery procedures performed were cholecystectomy (23.7%), herniorrhaphy (23.7%) and colorectal resection (9.3%). In-hospital mortality and morbidity were 2.5% and 11.9%, respectively.

      Conclusion

      Adults survivors of moderate and great complexity CHD undergoing common general surgery procedures in this study experienced excellent in-hospital outcomes.

      Keywords

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