Long-term results of operated and non-operated patients with congenital heart diseases.
The long-term results of 1023 adult patients with congenital heart diseases, operated and non-operated, with atrial septal defect (ASD), patent ductus arteriosus (PDA), pulmonary stenosis (PS) and tetralogy of Fallot, were followed for up to 24 years, and the long-term results of operated and non-operated congenital heart diseases were compared. The survival rate of patients with operated isolated ASD was significantly higher than in patients with non-operated isolated ASD, and that of operated patients with VSD associated with other anomalies was also significantly higher than in non-operated VSD patients with such involvement. The survival rate showed no significant difference in the operated and non-operated patients with PDA, PS and tetralogy of Fallot. In all congenital heart diseases, there was a close correlation between the mean pulmonary artery pressure and the mortality rate both in operated and non-operated patients and a marked improvement of physical capacity of operated patients at the time of the last follow-up examination.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004374:Ductus Arteriosus, Patent / Q000401:mortality / Q000601:surgery; D004699:Endocardium / Q000002:abnormalities; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000401:mortality* / Q000601:surgery; D006343:Heart Septal Defects / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011666:Pulmonary Valve Stenosis / Q000401:mortality / Q000601:surgery; D011669:Pulmonary Wedge Pressure; D013771:Tetralogy of Fallot / Q000401:mortality / Q000601:surgery