Long-term follow-up and quality of life after closure of ventricular septal defect in adults

Raap, Goris Bol; Meijboom, Folkert J.; Kappetein, Arie Pieter; Galema, Tjebbe W.; Yap, Singh-Chien; Bogers, Ad J.J.C.

doi:10.1016/j.ejcts.2007.04.023

Cited by 36 publications

(23 citation statements)

References 16 publications

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“…The less than 5% missing follow-up NYHA classes mostly consisted of information lacking to reliably classify those patients. Quality of life, in a subgroup of operated adult ventricular septal defect patients in our institution, was shown to be nearly equal to that of the general population [24]. Comparable positive results are shown in a more diverse adult CHD population by Moons et al [25].…”

Section: Clinical Status At Last Follow-upmentioning

confidence: 74%

Seventeen years of adult congenital heart surgery: a single centre experience☆

Putman

Gameren

Meijboom

et al. 2009

European Journal of Cardio-Thoracic Surgery

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Section: Clinical Status At Last Follow-upmentioning

confidence: 74%

Seventeen years of adult congenital heart surgery: a single centre experience☆

Putman

Gameren

Meijboom

et al. 2009

European Journal of Cardio-Thoracic Surgery

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“…Besides, one should note that cAVB block can also occur after surgical closure of a VSD in about 1-5% of subjects who are treated with this procedure [14].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of congenital ventricular septal defects in adult: Mid-term results and complications

Chessa

Butera

Negura

et al. 2009

International Journal of Cardiology

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“…Despite the parameters above discussed have been widely employed for late results evaluation of patients followed in the long term, we share the opinion that the individual quality of life is an important aspect which should be considered in the outpatient assessment because it can give a more complete idea of the individual status [12,26].…”

Section: Late Resultsmentioning

confidence: 99%

Adult congenital heart disease: experience with the surgical approach

Amaral

Rodrigues

Manso

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Objective: To report the institution experience with the surgical treatment of adults with congenital heart disease due to the increasing number of these patients and the need for a better discussion of the subject.Methods: Retrospective analysis describing demographic data, risk factors and results.Results: 191 patients between 16 and 74 years old were operated on. Primary correction was done in 171 cases, 93 (55%) for atrial septal defect repair. Among 20 (12%) reoperations, pulmonary valve replacement was done in six cases. The mean intensive care and hospital stay were 2.7 and 8.5 days respectively, significantly greater for the reoperated cases (P=0.001). The mean bypass and clamping times were 68.6 and 44.7 minutes respectively, greater for the reoperated cases (P<0.0001 and P=0.0003 respectively). Hospital mortality was 4.2% and male sex, functional class III-IV and older age at operation were predictive risk factors. Significant complications were more frequent in the reoperated cases (P<0.003), mainly atrial flutter and fibrillation. Among 183 patients discharged, 149 (82%) are being followed and atrial flutter and fibrillation are common. The mean functional class value improved significantly after operation (1.66 to 1.11; P<0.0001). The estimated survival was 96.2% in six years. Conclusion:Heart surgery in adults with congenital heart disease can be accomplished with low mortality and functional class improvement. Immediate and late complications are frequent. Multicenter studies are important to better characterize this patient population in the country.Descriptors: Heart defects, congenital. Adult. Cardiac surgical procedures.Resumo Objetivo: Relatar a experiência da instituição com o tratamento cirúrgico de adultos com cardiopatia congênita devido ao crescente aumento no número desses pacientes e consequentes necessidades de maior discussão do tema.Métodos: Análise retrospectiva dos pacientes operados, com análise de dados demográficos, fatores de risco e resultados.Resultados: Cento e noventa e um pacientes, com idade entre 16 e 74 anos, foram operados. Cirurgia primária foi realizada em 171 pacientes, 93 (55%) com comunicação interatrial. Dentre 20 (12%) reoperações, substituição de valva pulmonar ocorreu em seis casos. Os tempos médios de unidade de terapia intensiva e hospitalar foram 2,7 e 8,5 dias, respectivamente, maiores nas reoperações (P=0,001). Os tempos médios de cir- 372Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Rev Bras Cir Cardiovasc 2013;28(3):371-9Amaral FTV, et al. -Adult congenital heart disease: experience with the surgical approach city area (n=40, 20%) or in the region (n=133, 70%) while 17 (10%) were referred from other states. An Excel data base was created containing general information of the patients, possible preoperative risk factors such as diabetes, cyanosis, smoking, systemic hypertension, obesity and chronic lung disease, detailed information regarding the surgical procedure, hospital complications and follow up information.The preoperative data collec...

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Long-term follow-up and quality of life after closure of ventricular septal defect in adults

Abstract: With a relative difference in indications for closure of a VSD in adulthood, surgical closure of VSD at adult age is an adequate and safe procedure, with good results on long-term follow-up. Progression of aortic valve regurgitation is a matter of concern.

Cited by 36 publications

References 16 publications

Seventeen years of adult congenital heart surgery: a single centre experience☆

Seventeen years of adult congenital heart surgery: a single centre experience☆

Transcatheter closure of congenital ventricular septal defects in adult: Mid-term results and complications

Adult congenital heart disease: experience with the surgical approach

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