RF79 SURGERY OF GROWN UP CONGENITAL HEART DISEASE: EARLY OUTCOMES OF A COMPLEX PROBLEM

Abstract

Background and Aim: To evaluate early surgical results of grown-up congenital heart disease(GUCH) in a single center experience. Methods: A retrospective analysis of GUCH patients operated on from 2002 to 2016. Variables included: primary diagnosis, surgical procedures, intraoperative data, early postoperative results. Analysis of variables and mortality was performed with Square-Chi test and t-test when indicated. Results: 409 operations were performed among 397 patients. Mean age at surgery was 38,2 ± 14,8 years. Main disease at operation was: septal defects in 30%, right ventricular outflow tract disease 29%, single ventricle 4%, valvular disease 28%, coronary arteries disease 5%, others4%. Seven patients were on heart transplant waiting list. Surgical procedures are described in table 1. In-hospital mortality was 1.7%. Age at operation and preoperative creatinine clearance, emergency procedure, prolonged by-pass time resulted as risk factors for intraoperative mortality(p = 0.007,0.009,0.003,0.002 respectively). Conclusions: A large number of GUCH patients lead a healthy life without any treatment, but some of them require cardiac surgery for primary repair, correction of residual or acquired pathologies, reoperation for sequelae following previous surgery or acquired heart disease. The complexity of this kind of population, due to the risk factors associated with it, therefore requires the need for adequate preoperative management, appropriate surgical planning and consequently a rigorous follow-up.