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Surgical outcomes in complex adult congenital heart disease: a brief review

Alice Chan1, Amna Aijaz2, Ali N Zaidi1,3

  • 1Mount Sinai Adult Congenital Heart Disease Center, Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Journal of Thoracic Disease
|April 11, 2020
PubMed

Insights

Life expectancy for adults with congenital heart disease (CHD) has significantly improved due to medical and surgical advances. However, these patients still experience higher morbidity and lower survival rates than the general population.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)
  • Cardiac Surgery

Background:

  • Life expectancy for patients with congenital heart disease (CHD) has dramatically increased.
  • Adult congenital heart disease (ACHD) patients face ongoing morbidity and reduced long-term survival compared to the general population.

Purpose of the Study:

  • To describe the growth of ACHD care.
  • To focus on surgical procedures and outcomes for complex CHD lesions.
  • To highlight the role of mechanical support and transplantation in ACHD.

Main Methods:

  • Review of surgical procedures and outcomes for complex CHD.
  • Inclusion of data on mechanical circulatory support and cardiac transplantation.
  • Analysis of long-term efficacy and outcomes in ACHD patients.

Main Results:

  • Significant improvements in cardiac surgery for ACHD patients.
  • Low surgical mortality rates reported.
  • Outstanding long-term outcomes and efficacy demonstrated.

Conclusions:

  • ACHD patients are living longer due to medical and surgical advancements.
  • Despite improvements, ACHD patients require ongoing management for morbidity.
  • Cardiac surgery and advanced therapies offer improved long-term outcomes for ACHD.

Keywords:
Adult Congenital Heart Disease (ACHD)Coarctation of AortaEbstein anomalyFontan palliationTetralogy of Fallot (ToF)Transposition of the Great Arteriescardiac transplantationsurgical outcomes

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