Operations of adults with congenital heart disease - Single center experience with 10 years results
Identifikátory výsledku
Kód výsledku v 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>
Výsledek na webu
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DOI - Digital Object Identifier
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Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Operations of adults with congenital heart disease - Single center experience with 10 years results
Popis výsledku v původním jazyce
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.
Název v anglickém jazyce
Operations of adults with congenital heart disease - Single center experience with 10 years results
Popis výsledku anglicky
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.
Klasifikace
Druh
J<sub>x</sub> - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)
CEP obor
FA - Kardiovaskulární nemoci včetně kardiochirurgie
OECD FORD obor
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Návaznosti výsledku
Projekt
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Návaznosti
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Ostatní
Rok uplatnění
2016
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Cor et Vasa
ISSN
0010-8650
e-ISSN
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Svazek periodika
58
Číslo periodika v rámci svazku
3
Stát vydavatele periodika
CZ - Česká republika
Počet stran výsledku
10
Strana od-do
"e317"-"e327"
Kód UT WoS článku
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EID výsledku v databázi Scopus
2-s2.0-84955595098