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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Article info
Publication history
Published online: August 17, 2021
Accepted:
August 16,
2021
Received in revised form:
August 14,
2021
Received:
April 19,
2021
Identification
Copyright
© 2021 Published by Elsevier Inc.
