Operations of adults with congenital heart disease - Single center experience with 10 years results
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F16%3A%230006603" target="_blank" >RIV/00023884:_____/16:#0006603 - isvavai.cz</a>
Result on the web
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DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
Operations of adults with congenital heart disease - Single center experience with 10 years results
Original language description
During the last 10 years, 844 operations of 805 adults with congenital heart disease (CHD)were performed in Hospital Na Homolce in Prague, Czech Republic. The median age was 37(interquartile range 25 49, full range 16 81) years. Operations of complex and rare CHD represented 47%. Forty-four percent of patients (354) underwent previous cardiac surgery in childhood or adulthood. Three and more operations were performed in 14% (113 patients). Combined surgical procedures were performed in 70% of operations. Thirty-day mortality was 1.36%, hospital mortality 1.7% and 5-year survival probability 97%. The risk factors for early and late mortality were NYHA class III and IV symptoms(p < 0.0001; OR 30.8), history of heart failure (p = 0.001; OR 6.7), cyanosis ( p < 0.0001; OR 60.5), number of previous operations (p = 0.00033), presence of mechanical prosthetic valves(p = 0.0032; OR 3.7) and univentricular circulation (p = 0.0276; OR 5.4). The difference was not significant for arrhythmias (p = 0.078), pulmonary hypertension (p = 0.072), age at operation(p = 0.372) and gender (p = 0.48). Centralization of adult CHD care in a high volume center carries very good surgical results with low early and late mortality. It is important to perform the operations in time and to eliminate all residual lesions by combined surgical procedure. The presence of pediatric cardiac surgeon is necessary for the operations of complex CHD.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FA - Cardiovascular diseases including cardio-surgery
OECD FORD branch
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Result continuities
Project
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Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Cor et Vasa
ISSN
0010-8650
e-ISSN
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Volume of the periodical
58
Issue of the periodical within the volume
3
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
10
Pages from-to
"e317"-"e327"
UT code for WoS article
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EID of the result in the Scopus database
2-s2.0-84955595098