Abstract
The work of Giamberti and colleagues [1] has several interesting features. Reoperations in adult congenital heart disease (ACHD) patients due to the right ventricular outflow tract, the left ventricular outflow track, residual septal defects, and in Fontan patients were associated with a low rate of mortality (3.6%). With just 6 deaths, it is not surprising that statistical analysis of the data did not identify any clinical features associated with in-hospital death, although the fact that 4 deaths occurred among the subset of 13 patients with a failing Fontan circulation supports the view that such patients require very careful preoperative assessment.
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