OBJECTIVE: To describe the ICU outcome and the most frequent complications observed in adult patients operated on for a congenital heart disease. DESIGN AND SETTING: Retrospective analysis of prospectively collected data and chart review in an adult cardiovascular ICU of a university hospital. PATIENTS: 156 patients older than 15 years with congenital heart disease undergoing cardiac surgery between June 2001 and June 2005. RESULTS: According to the initial cardiac malformation, patients were divided in four groups with different operative risk based on the Euroscore: those diagnosed bicuspid aortic valve (n = 73) had a score of 5, those with tetralogy of Fallot (n = 33) 5.5, those with simple cardiac defect (n = 26) 3, and those with complex malformations (n = 24) 6. Only two patients (one with tetralogy of Fallot and one with complex malformations) died during the hospitalization (1.2%). CONCLUSION: Euroscore clearly overestimates the risk of surgery in this population of adults with congenital heart disease. Mortality and morbidity were low in those diagnosed bicuspid aortic valve, tetralogy of Fallot, or simple cardiac defect, justifying early surgery for incipient complications. Patients with complex congenital defect require prolonged ICU stay, sometimes with mechanical cardiac support, but their overall good outcome justifies these efforts.
OBJECTIVE: To describe the ICU outcome and the most frequent complications observed in adult patients operated on for a congenital heart disease. DESIGN AND SETTING: Retrospective analysis of prospectively collected data and chart review in an adult cardiovascular ICU of a university hospital. PATIENTS: 156 patients older than 15 years with congenital heart disease undergoing cardiac surgery between June 2001 and June 2005. RESULTS: According to the initial cardiac malformation, patients were divided in four groups with different operative risk based on the Euroscore: those diagnosed bicuspid aortic valve (n = 73) had a score of 5, those with tetralogy of Fallot (n = 33) 5.5, those with simple cardiac defect (n = 26) 3, and those with complex malformations (n = 24) 6. Only two patients (one with tetralogy of Fallot and one with complex malformations) died during the hospitalization (1.2%). CONCLUSION: Euroscore clearly overestimates the risk of surgery in this population of adults with congenital heart disease. Mortality and morbidity were low in those diagnosed bicuspid aortic valve, tetralogy of Fallot, or simple cardiac defect, justifying early surgery for incipient complications. Patients with complex congenital defect require prolonged ICU stay, sometimes with mechanical cardiac support, but their overall good outcome justifies these efforts.
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Authors: Roelof G A Ettema; Linda M Peelen; Cor J Kalkman; Arno P Nierich; Karel G M Moons; Marieke J Schuurmans Journal: Intensive Care Med Date: 2011-07-30 Impact factor: 17.440
Authors: Fernando Tadeu Vasconcelos Amaral; Paulo Henrique Manso; André Schmidt; Ricardo Nilson Sgarbieri; Walter Villela de Andrade Vicente; Clovis Carbone Junior; Jane Somerville Journal: Rev Bras Cir Cardiovasc Date: 2015 Jul-Sep