title: [Surgical management of congenital heart defects beyond the age of 60].
abstract: BACKGROUND
  The population with congenital heart disease is increasing and ageing.
  
  
  OBJECTIVE
  The aim of the authors was to examine the outcome of surgical management of congenital heart diseases beyond the age of 60 years.
  
  
  METHODS
  Between 2013 and 2015, 77 adults were operated (36 younger, and 41 older than forty years, including 12 patients aged over 60 years. The numbers of procedures were as follows (in brackets the number of operations in the three age groups): Ross surgery 5 (3, 2, 0); aortic valve replacement 19 (12, 1, 6); subaortic membrane resection 1 (0, 0, 1); Bentall/ascending aortic plasty 8 (4, 3, 1); myectomy with or without mitral valve replacement in left ventricular outflow obstruction 5 (0, 3, 2); aortic coarctation 1 (1, 0, 0); ligation of ductus arteriosus 2 (1, 1, 0); reconstruction of right ventricular outflow tract with biological valve 4 (0, 3, 1); homograft 5 (5, 0, 0); BioValsalva graft 1 (0, 1, 0); primary reconstruction of complete atrioventricular septum defect 3 (1, 2, 0); valve replacement 2 (1, 1, 0); ventricular septum defect 10 (4, 6, 0); atrial septum defect closure 5 (2, 3, 0); total cavopulmonal anastomosis 1 (1, 0, 0); valve replacement in congenital transposition of great arteries 1 (0, 1, 0), Ebstein operation with valve plasty 2 (0, 1, 1); valve replacement 2 (1, 0, 1).
  
  
  RESULTS
  There was no operative mortality, while early mortality occurred in one patient with total cavopulmonal anastomosis due to multiorgan failure.
  
  
  CONCLUSIONS
  Congenital heart defects can be operated beyond the age of 60 years with good results in a tertiary heart centre having great experience in the management of congenital and acquired heart disease.
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Pécsi út 4., 6720.
authors.forename: István
authors.initials: I
authors.lastname: Hartyánszky
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Pécsi út 4., 6720.
authors.forename: Sándor
authors.initials: S
authors.lastname: Varga
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Pécsi út 4., 6720.
authors.forename: László
authors.initials: L
authors.lastname: Csepregi
authors.affiliation: Aneszteziológiai és Intenzív Terápiás Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged.
authors.forename: Barna
authors.initials: B
authors.lastname: Babik
authors.affiliation: Aneszteziológiai és Intenzív Terápiás Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged.
authors.forename: Judit
authors.initials: J
authors.lastname: Simon
authors.affiliation: II. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged.
authors.forename: Kálmán
authors.initials: K
authors.lastname: Havasi
authors.affiliation: II. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged.
authors.forename: Anita
authors.initials: A
authors.lastname: Kalapos
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Pécsi út 4., 6720.
authors.forename: Gábor
authors.initials: G
authors.lastname: Bogáts
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D064591:Allografts; D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D004374:Ductus Arteriosus, Patent / Q000601:surgery; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D062606:Tertiary Care Centers; D014188:Transposition of Great Vessels / Q000601:surgery; D014683:Vena Cava, Superior / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000601:surgery
keywords: congenital heart disease; surgical management in elderly age; veleszületett szívhibák sebészete időskorban