• Ganesh Kumar Gnanappa, Madhusudan Ganigara, Atul Prabhu, Suraj Kumar Varma, Uday Murmu, Roy Varghese, John Valliatu, and Raghavan Nair Suresh Kumar.
• Departments of Pediatric Cardiology Pediatric Cardiac Surgery, The Madras Medical Mission, Chennai, India.
• Congenit Heart Dis. 2011 Jan 1;6(1):2-8.

BackgroundThere is scanty information on the outcome of adult congenital heart disease surgery from the developing world.MethodsThis was a retrospective chart review of the surgical outcome of 153 adults with congenital heart disease over a 5-year period. Surgical atrial septal defect closure was considered "simple" while all other surgeries were considered "complex."Results  There were 102 patients in the "simple" group and 51 in the "complex" group. Only three (2%) patients had prior operations. The "complex" group had longer bypass time and cross clamp time. Intensive care unit stay, ventilation time, and inotrope administration were longer. Major complications were more common and there were two deaths in the "complex" group. Age more than 30 years, cyanosis, and New York Heart Association class more than II were predictors of longer stay in the intensive care unit. Surgical repair of Tetralogy of Fallot in adults tended to have a longer ventilation time and intensive care unit stay with a mortality of 4%. At follow up, all patients were in New York Heart Association class I or II. Improvement of the functional class with negligible adverse events was noted in both groups.Conclusions  A retrospective evaluation of 153 adults with congenital heart disease who underwent open heart surgery at a single center in India showed strikingly fewer reoperations compared with large European studies. There was a similar prevalence of complex lesions. Surgical mortality was low, and long-term functional outcome was gratifying.© 2011 Copyright the Authors. Congenital Heart Disease © 2011 Wiley Periodicals, Inc.

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