Registro de intervenciones en pacientes con cardiopatía congénita de la Sociedad Española de Cirugía Cardiovascular y Endovascular: 2019 y retrospectiva de los últimos 8 años

Abstract

The Spanish Society of Cardiovascular & Endovascular Surgery presents the 2012-2019 report of the activity in congenital cardiovascular surgery, based on a voluntary and anonymous registration involving the majority of Spanish centres. This article is complementary to the 2019 cardiovascular surgery annual report, and they are published together. Data from the previous 8years are included, in order to obtain real information related to our activity in these relatively scarce pathologies. In the last eight years, a total of 16,917 congenital heart surgeries were performed, accounting for 9.7% of major surgery (congenital +acquired) performed in Spain during that period. Of these surgeries, 81% of them required extracorporeal circulation and 19% not. We highlight the interventions in neonates and adult patients, which represent respectively 18% and 21% of the whole activity, and are a real challenge. The most prevalent congenital heart pathologies operated on were septal defects in cases requiring extracorporeal circulation, and ductus in patients not requiring extracorporeal circulation. The presented data are adjusted to the basic Aristotle score of preoperative surgical risk. The observed mortality of surgeries with extracorporeal circulation was 3.06% (Aristotle: 6.72), and without cardiopulmonary bypass 2.41% (Aristotle: 4.79). This data analysis show accurate and reliable information about our surgery for congenital heart disease and allow us to compare ourselves within an international framework, and to organize strategies directed to improve our results.