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Implantation of Total Artificial Heart in Congenital Heart Disease
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Adult Congenital Heart Disease: Report from a Public Reference Hospital in Northeastern Brazil

Maria Suely Bezerra Diogenes1, Acrísio Sales Valente1, Hermano Alexandre Lima Rocha1,2

  • 1Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Ceará, Brazil.

Brazilian Journal of Cardiovascular Surgery
|October 6, 2023
PubMed

Insights

Adults with congenital heart disease (CHD) require increased health professional attention. Late diagnosis of atrial septal defects (ASD) leads to complications, highlighting a significant concern in managing adult CHD.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Medicine

Background:

  • The global population of adults with congenital heart disease (CHD) is rising, necessitating enhanced focus from healthcare providers.
  • Understanding the clinical and demographic characteristics of this population is crucial for effective management.

Purpose of the Study:

  • To delineate the clinical demographic profile of adults with CHD.
  • To determine the frequency of different CHD types and their invasive treatment status.
  • To analyze the data from a public reference hospital in northeastern Brazil.

Main Methods:

  • A retrospective cross-sectional study was conducted.
  • Data were collected from 704 patients between August 2016 and August 2020.
  • A virtual database was utilized for data extraction.

Main Results:

  • The study included patients aged 17–81 years, with a mean age of 32±14 years. Atrial septal defect (ASD) was the most common diagnosis (30.7%).
  • Moderate complexity defects were prevalent (71.5%). Arrhythmias (24%) and severe pulmonary hypertension (9.8%) were common complications.
  • Over half of the patients (51.6%) underwent corrective surgery, while 14.5% required no treatment.

Conclusions:

  • Atrial septal defect (ASD) was the leading diagnosis among adults with CHD in this cohort.
  • A significant frequency of unrepaired ASD cases was observed, often due to late diagnosis.
  • Late diagnosis contributes to complications and underscores a critical area for clinical concern and intervention.
Abstract

Keywords:
Atrial Septal Defect 5Cardiac Surgical ProceduresCongenital Heart DefectsReoperationTetralogy of Fallot

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