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>Journals >Cirujano General >Year 2007, Issue 2

Rodríguez-Ortega MF, Solís-Jiménez G, Jacobo VEJ, Díaz QG, Flores CO, Espinosa BO, Gómez ML, Archundia GA
Surgery for congenital cardiopathies of the adult. Experience with 334 patients at the National Medical Center “20 de Noviembre” ISSSTE
Cir Gen 2007; 29 (2)

Language: Español
References: 28
Page: 125-130
PDF: 4. Kb.

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Objective: To describe our surgical experience in congenital cardiopathies in the adult at a National Medical Center.
Setting: Third level health care hospital.
Design: Transversal, observational, descriptive, retrolective study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Patients and methods: We reviewed the clinical records of 334 patients corresponding to the period from January 1995 to December 2006. We analyzed the following variables: gender, age, congenital cardiopathy, surgical treatment performed, and aggregated cardiac pathology.
Results: We report on 334 patients, 75 men and 259 women, their ages ranged from 18 to 65 years. Frequency of pathologies were: 250 inter-atrial communication, 29 persistent patent ductus arteriosus, 22 inter-ventricular communication, 19 aortic coarctation, 8 subaortic stenoses, 3 Ebstein’s anomalies, 3 Fallot’s tetralogies. Different surgical procedures were performed according to the pathology and its anatomic location and the aggregated cardiac pathology.
Conclusion: Surgical treatment of congenital cardiopathies at our Institution lies within international standards, and is safe and beneficial. A decrease in morbidity and mortality has also been achieved due to an improved participation of pediatric cardiology in the diagnoses of these diseases.

Key words: Congenital cardiopathy in the adult, surgical treatment.


  1. Therrien J, Webb GD. Cardiopatías congénitas en adultos. En: Braunwald E, Zipes DP, Lobby P. Cardiología; 6ª edición; Madrid. España. Ed. Marbán Libros, S. L. 2004: 1944-77.

  2. Attie F. Cardiopatías congénitas en el adulto. Arch Cardiol Méx 2001; 71 (Supl 1):10-16.

  3. Attie F. Diagnóstico anatómico de las cardiopatías congénitas. Arch Cardiol Méx 2004; 74 (Supl 1): 13-17.

  4. Attie F. Aspectos de interés en la cardiopatía congénita del adulto. Arch Cardiol Méx 2004; 74 (Supl 2): 410-417.

  5. Vázquez-Antona CA. Papel del ecocardiograma en el adulto con cardiopatía congénita. Arch Cardiol Méx 2002; 72 (Supl 1): 226- 232.

  6. García MJA. Cateterismo diagnóstico en cardiopatías congénitas del adulto. Arch Cardiol Méx 2006; 76 (Supl 2): 137-40.

  7. Vida VL, Berggren H, Brawn WJ, Daenen W, Di Carlo D, Di Donato R, et al. Risk of surgery for congenital heart disease in the adult: a multicentered European study. Ann Thorac Surg 2007; 83: 161-8.

  8. Houston A, Hillis S, Lilley S, Richens S, Swan L. Echocardiography in adult congenital heart disease. Heart 1998; 80 Supl 1: S12-26.

  9. Zabal C. El cateterismo terapéutico en el adulto con cardiopatía congénita. Arch Cardiol Méx 2002; 72 (Supl 1): 233-236.

  10. Holzer R, Hijazi ZM. Interventional approach to congenital heart disease. Curr Opin Cardiol 2004; 19: 84-90.

  11. Thilén U, Persson S. Closure of atrial defect in the adult. Cardiac remodeling is an early event. Int J Cardiol 2006; 108: 370-5.

  12. Rosas M, Attie F, Sandoval J, Castellano C, Buendía A, Zabal C, et al. Atrial septal defect in adults > 40 years old: negative impact of low arterial oxygen saturation. Int J Cardiol 2004; 93: 145-55.

  13. Sachweh JS, Daebritz Sh, Hermanns B, Fausten B, Jockenhoevel S, Handt S, et al. Hypertensive pulmonary vascular disease in adults with secundum or sinus venosus atrial septal defect. Ann Thorac Surg 2006; 81: 207-13.

  14. Warnes CA. The adult with congenital heart disease: born to be bad? J Am Coll Cardiol 2005; 46: 1-8.

  15. Therrien J, Webb G. Clinical update on adults with congenital heart disease. Lancet 2003; 362: 1305-13.

  16. Shinebourne EA, Gatzoulis MA. Adult congenital heart disease. Current Paediatrics 2002; 12: 220-26.

  17. Landzberg MJ, Ungerleider R. Pediatric cardiology and adult congenital heart disease. J Am Coll Cardiol 2006; 47: 33-36.

  18. Webb GD. Care of adults with congenital heart disease-a challenge for the new millenium. Thorac Cardiovasc Surg 2001; 49: 30-4.

  19. Harrison DA, Benson LN, Lazzam C, Walters JE, Siu S, McLaughlin PR. Percutaneous catheter closure of the persistently patent ductus arteriosus in the adult. Am J Cardiol 1996; 77: 1094-97.

  20. Corno AF, Botta U, Hurni M, Payot M, Sekarski N, Tosi P, et al. Surgery for aortic coarctation: a 30 years experience. Eur J Cardiothorac Surg 2001; 20: 1202-06.

  21. Fawzy ME, Sivanandam V, Galal O, Dunn B, Patel A, Rifai A, et al. One-to-ten year follow-up results of balloon angioplasty of native coarctation of the aorta in adolescents and adults. J Am Coll Cardiol 1997; 30: 1542-46.

  22. Perloff JK, Warnes CA. Challanges posed by adults with repaired congenital heart disease. Circulation 2001; 103: 2637-43.

  23. Brickner ME, Hillis LD, Lange RA. Congenital heart disease in adults. First of two parts. N Engl J Med 2000; 342: 256-263.

  24. Attie F, Rosas M, Rijlaarsdam M, Buendia A, Zabal C, Kuri J, et al. The adult patient with Ebstein anomaly. Outcome in 72 unoperated patients. Medicine (Baltimore) 2000; 79: 27-36.

  25. Berdat PA, Immer F, Pfammatter JP, Carrel T. Reoperations in adults with congenital heart disease: analysis of early outcome. Int J Cardiol 2004; 93: 239-45.

  26. Gerlis LM, Ho SY, Somerville J. A post mortem review of congenital cardiac malformations in a series of 180 adults, over the age of 16 years, born between 1865 and 1980. Cardiovasc Pathol 1999; 8: 263-72.

  27. Gatzoulis MA, Balaji S, Webber SA, Siu SC, Hokanson JJ, Poile C, et al. Risk factors for arrhythmia and sudden cardiac death late after repair of tetralogy of Fallot. Lancet 2000; 356: 975-81.

  28. Rietveld S, Mulder BJ, Van Beest I, Lubbers W, Prins PJ, Vioen S, et al. Negative thoughts in adults with congenital heart disease. Int J Cardiol 2002; 86: 19-26.

>Journals >Cirujano General >Year 2007, Issue 2

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