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Updated: Aug 15, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Insights
Surgical repair of adult cyanotic heart disease is feasible despite technical challenges. Most adult patients achieve excellent or good clinical outcomes after corrective surgery, indicating age is not a barrier.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
- Cardiac Surgery
Background:
- Cyanotic heart disease presents significant surgical challenges in adults due to complex anatomical deformities and physiological compromises.
- Review of various congenital heart abnormalities and their surgical management in adult patients.
Purpose of the Study:
- To evaluate the safety and efficacy of surgical correction for cyanotic heart disease in adult patients.
- To determine if advanced age precludes complete repair of these cardiac conditions.
Main Methods:
- Surgical intervention was performed on 46 adult patients (age > 18 years) with cyanotic heart disease.
- Outcomes were assessed based on clinical results, categorizing them as excellent, good, or otherwise.
Main Results:
- The study reported 10 operative deaths among the 46 patients.
- Of the surviving patients, 63% achieved an excellent clinical result.
- Overall, 69.5% of all patients experienced an excellent or good outcome post-surgery.
Conclusions:
- Patient age should not be a contraindication for the complete surgical repair of cyanotic heart disease.
- All adult patients diagnosed with cyanotic heart disease warrant thorough investigation for potential surgical correction.
Abstract:
The surgical treatment of cyanotic heart disease in the adult poses some technical difficulties in correcting severe anatomical deformities and compromised physiological states over a wide range of conditions. Various abnormalities and their surgical management have been reviewed. Forty-six patients over the age of 18 years have been operated with 10 operative deaths. Of the survivors, 63% have had excellent clinical result; 69.5% of the total group had an excellent or good result following surgery. It is concluded that the age of the patient is not a bar to the complete repair of these deformities, and all cases of adult cyanotic heart disease should be investigated with a view to surgical correction.
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