Objectives:
To review the pattern of adult congenital heart disease needed surgical intervention in Ahmed Gasim Cardiac Center in a ten years duration.
Methodology:
This study is retrospective descriptive hospital based from Jan 1998 to Dec 2008. The data is collected manually by the authers and analyzed by a computr program (SPSS).
Results:
A total of 101 patients were operated on during the study period. 54.5% were females. The patient's ages range from 18 to 58 years with a mean of 27.9. 17 patients underwent closed cardiac procedure. the majority of open cardiac procedure is for atrial septal defects (37 patients) followed by Fallot' tetralogy (17 patients). 10 patients had subaortic membrane, two of them required replacement of the aortic valve as well as membrane excision. No intraoperative mortality in this group. Immediate postoperative complications include excessive bleeding which needed reopening, prolonged inotrpic support, and comlpete heart block. Late postoperative complications noted were infective endocarditis and severe pulmonary regurgitation with right ventricular failure. Both groups of complications were noted mainly in patients with Fallot's tetralogy repair. There were three late mortalities all in Fallot's tetralogy group.
Conclusions:
Arount 10% of the total cardiac operations in our center are adult congenital heart disease. The presentation of the patients is very late, yet there is an excellent early and late surgical outcome.