title: [Surgery of grown up congenital heart disease. About 540 cases].
abstract: BACKGROUND
  With advances in recent decades in the field of congenital heart disease both for imaging in medical therapy, a large number of heart disease is diagnosed before birth. Many of them benefit from surgery and reach adulthood, they do not require further action. Some of them develop later in their lives other problems requiring reoperation in adulthood. This sparked the birth of a subspecialty within the department of congenital heart disease: GUCH Unit "grown up congenital heart disease". In developing countries, little heart are detected in childhood, a minority of them are operated and very few reach adulthood or with minor heart disease or become advanced enough then inoperable. Only part may still take advantage of surgery at this age. The aim of our study is to describe the spectrum and characteristics of congenital heart disease in adulthood in Algiers a center of cardiovascular surgery.
  
  
  METHODS
  A retrospective descriptive study of patients aged 15 and above operated for congenital heart defects between 1995 and 2011.
  
  
  RESULTS
  Five hundred and forty patients aged 15 to 76years (29±10 years), including 314 women and 226 men are operated congenital heart defects between 1995 and 2011. The left-right shunts represent two thirds of heart disease, represented mainly (50%) by the atrial septal defect. Barriers to the ejection of the left heart represent one forth of cases with a predominance of subvalvular aortic stenosis. We find the native heart whose survival is considered exceptional in adulthood in the absence of surgery, such as tetralogy of Fallot, aortopulmonary windows wide, double outlet right ventricle and atrioventricular canal that take advantage of always surgery. The results are encouraging with low perioperative mortality (2%).
  
  
  CONCLUSIONS
  The approach of congenital heart disease in developing countries is different from that of developed countries. Efforts need to be made in early detection and monitoring of congenital heart disease and improve access to surgery centers in close collaboration with pediatricians, cardiologists and obstetricians.
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie. Electronic address: assiah7@yahoo.fr.
authors: A
authors: A
authors: Haddad
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie.
authors: R
authors: R
authors: Bourezak
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie.
authors: M
authors: M
authors: Aouiche
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie.
authors: R
authors: R
authors: Ait Mohand
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie.
authors: A
authors: A
authors: Hamzaoui
authors: Service de chirurgie cardiovasculaire, EHS Mohamed Abderrahmani, Alger, Algérie.
authors: S E
authors: SE
authors: Bourezak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000462:Algeria; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D016019:Survival Analysis; D055815:Young Adult
keywords: Adult; Adulte; Cardiac surgery; Cardiopathies congénitales; Chirurgie cardiaque; Congenital heart disease; Developing countries; GUCH; Pays en voie de développement