Surgical Intervention for Adult Congenital Heart Disease: Emerging Population

Kozo Matsuo, Masashi Kabasawa, Takahiro Ito, Shintaroh Koizumi, Hiroki Ikeuchi, Hideomi Hasegawa, Shinichiro Abe, Soichi Asano, Naoki Hayashida and Hirokazu Murayama

Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center, Japan

^*Correspondance to: Kozo Matsuo 

 PDF  Full Text DOI: 10.25107/2474-1647.1936

Abstract

Improvement of surgical results and medical management for Congenital Heart Diseases (CHD) led emerging population of the adult patients. However, corrective surgery for complex CHD does not always mean complete cure. Increasing number of adult patients with CHD (ACHD) will visit the cardiology facilities because of secondary or residual lesions. Conduit malfunction, valvular insufficiency, association of arrhythmias and so forth are common in ACHD patients and sometimes critical. We experienced 265 surgical procedures for ACHD patients at our center between 1999 and 2015. Of these procedures, palliative surgery was performed in 3%, palliation to corrective surgery in 6%, primary repair in 57%, and redo surgery in 34%. Hospital mortality within 30 days in this period was 1.1%. Surgery for ACHD patients is safe and beneficial treatment, however tailored procedures for the individual patient are essential to obtain the optimal quality.

Keywords

Adult congenital heart disease; Congenitally corrected transposition of great artery; Pulmonary valve replacement; Reoperation

Cite the article

Matsuo K, Kabasawa M, Ito T, Koizumi S, Ikeuchi H, Hasegawa H, et al. Surgical Intervention for Adult Congenital Heart Disease: Emerging Population. Clin Surg. 2018; 3: 1936.