Adult survivors of moderate and great complexity congenital heart disease undergoing general surgery procedures: How do they fare?

Background: Patients with complex congenital heart disease (CHD) are now commonly surviving well into adulthood. We describe the clinical characteristics and outcomes for a cohort of adult patients with moderate and great complexity CHD undergoing general surgery procedures.Methods: The electronic records of two tertiary centers were queried to identify adult patients with moderate and great complexity CHD who underwent a general surgery procedure between 2007 and 2017.Results: 118 adult patients were included in the analysis. The mean age was 36 +/- 17 years and 49.2% were male. The most common cardiac diagnoses were pulmonary valve anomaly (24.6%), tetralogy of Fallot (18.6%), coarctation of the aorta (15.3%) and common/single ventricle (10.2%). The most common general surgery procedures performed were cholecystectomy (23.7%), herniorrhaphy (23.7%) and colorectal resection (9.3%). In-hospital mortality and morbidity were 2.5% and 11.9%, respectively. Conclusion: Adults survivors of moderate and great complexity CHD undergoing common general surgery procedures in this study experienced excellent in-hospital outcomes.(c) 2021 Published by Elsevier Inc.

Automated summary

This study describes the clinical characteristics and outcomes of adult patients with moderate and great complexity congenital heart disease (CHD) undergoing general surgery procedures. The study found that these patients had low in-hospital mortality and morbidity rates.