title: Adults with congenital heart disease undergoing first surgery: prevalence and outcomes at a tertiary hospital.
abstract: BACKGROUND
  Surgical treatment of congenital heart disease in adults showed a significant growth in recent years. But even so, the number of patients who reach adulthood without adequate surgical treatment remains high.
  
  
  OBJECTIVE
  To demonstrate the results and hospital diagnoses of adult patients with congenital heart disease underwent the first surgery.
  
  
  METHODS
  A retrospective analysis of records of patients operated for correction of congenital heart disease and age greater than or equal to 18 years. The exclusion criterium was surgery for reoperation. Period analyzed was from December 2007 to December 2010 with inclusion of 79 patients.
  
  
  RESULTS
  The atrial septal defects were the most prevalent (53.1%), followed by VSD (15.2%), the coarctation (6.3%) and partial atrioventricular canal (6.3%). Thirteen (16.4%) patients had associated disease acquired and 14 (17.7%) congenital disease. Complications occurred in 18 (22.8%) patients, with infections being the most common. The average hospital stay in ICU and hospital were 3.9 and 14.5 days, respectively. Thirty-three (41.8%) patients had pulmonary hypertension. The hospital mortality was two (2.5%) patients.
  
  
  CONCLUSIONS
  The treatment of congenital heart disease in adults as first surgery has very favorable results. However, in our series, there was an increased length of stay in ICU and hospital.
authors.affiliation: Hospital Ana Nery, Salvador, Bahia, Brazil. mellomd@ig.com.br
authors.forename: Gustavo Alves de
authors.initials: GA
authors.lastname: Mello
authors.forename: Jehorvan Lisboa
authors.initials: JL
authors.lastname: Carvalho
authors.forename: José Augusto
authors.initials: JA
authors.lastname: Baucia
authors.forename: José
authors.initials: J
authors.lastname: Magalhaes Filho
mesh_terms: D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects*; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012141:Respiratory Tract Infections / Q000453:epidemiology*; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D055815:Young Adult