• Massimo A Padalino, Paola E Cogo, Luciano Daliento, Simone Speggiorin, Vladimiro L Vida, Nicola Maschietto, Elena Reffo, and Giovanni Stellin.
• Pediatric and Congenital Cardiac Surgery Unit, University of Padua Medical School, Padua, Italy. massimo.padalino@unipd.it
• J Cardiovasc Med (Hagerstown). 2010 Mar 1; 11 (3): 175-81.

ObjectivesWe report our 8-year experience with surgery for congenital heart disease in adults in a medium-volume surgical center.MethodsWe collected data of 161 consecutive patients who underwent 230 procedures from January 1997 to December 2004. Surgical procedures were divided into two groups: repair (85.7%) and reoperation (14.3).ResultsThere was only one in-hospital death (Fontan revision, in reoperation group). At a mean follow-up time of 56 +/- 30 months, overall freedom from any kind of complication is 76.5%. Cox analysis showed that incremental risk factors were preoperative cyanosis, reoperation, and length of ICU stay (hazard ratio = 4.47, 3.34 and 1.49, respectively; P < 0.001 in all), whereas decremental risk factors were preoperative New York Heart Association class 1 (hazard ratio = 0.328, P < 0.001) and surgery for 'septal defect' (hazard ratio = 0.26, P = 0.02).ConclusionSurgery for congenital heart disease in adults seems to be an overall well-tolerated and a low-risk treatment, with overall good mid-term clinical results.

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