66. King Faisal experience for cardiac surgery in adults with congenital heart disease: Outcome of primary and redo surgery

Abstract

Introduction Adult survivors with congenital heart diseases represent a growing population. Therefore, we aimed to review our experience in King Faisal Heart center for the outcome of adult patients with congenital heart disease who underwent either primary or redo surgery at our center. Methods We retrospectively reviewed all patients who underwent surgery either as the first surgery or as a reoperation for congenital heart disease aged greater than or equal to 16 years old at the time of cardiac surgery and in the period between 1st January 2008 and 1st January 2013. We looked for incidence of postoperative bleeding, arrhythmia, acute kidney injury, neurological complications, and duration of mechanical ventilation, hospital stay and ICU stay. Additionally, we assessed the mortality and 1 year survival rates. Results 98 patients were included in our study. Fifty-two (53%) females and 46 (47%) males, with mean age of 26 ± 8.4 years and mean weight of 62 ± 22.8 kg. Forty-nine patients (50%) required redo surgery. Ten patients (10%) suffered from postoperative bleeding. Eight patients (8%) had postoperative arrhythmias, of which 2 patients required permanent pacemaker insertion. Two patients (2%) had postoperative acute kidney injury, of which one required dialysis, and 7 (7%) patients suffered from neurological complications. The mean duration of ventilation was 1.3 ± 2 days, with mean ICU and hospital stay of 3.7 ± 3, and 10 ± 7 days, respectively. The overall mortality in our series was 4% with one year survival of 100%. Conclusion Adult patients with congenital heart disease are prone for immediate postoperative multiple system complications, yet the majority of it is reversible, and their one year survival rate is excellent. Further follow up studies are required.