Ramírez-Cedillo, David; Jiménez-Fernández, Carlos A; López-Taylor, Jaime; Massini-Aguilera, Italo; Olmos-Sánchez, Halina; Medina-Andrade, Miguel A; Peña-Juárez, Rocío A

ABSTRACT

Introduction: congenital heart diseases (CHD) constitute the primary malformation at birth, and their diagnosis and treatment are regarded as one of the most significant triumphs of contemporary medicine. Pediatric cardiology has undergone substantial evolution, not only in diagnostic modalities but also in therapeutic approaches, thereby enabling a considerable proportion of patients to survive into adulthood. Objective: to ascertain the demographic and clinical characteristics, as well as the management, of adult patients with CHD who necessitated surgical repair at our institution. Material: we conducted a descriptive, cross-sectional study encompassing the period from 2008 to 2023, inclusive of all patients with a diagnosis of congenital heart disease who required surgical repair by our department. Results: a total of 128 patients were enrolled, with a slight predominance of males (53.2%). The most prevalent cardiac anomaly encountered was bicuspid aorta, accounting for 40.6% of cases, followed by atrial septal defect (18.75%). The mean age at diagnosis was 21 years, with only 1.5% of patients having a history of prior pediatric intervention. The overall mortality rate was 9.3%. Conclusions: the data garnered from this study indicate that delayed diagnosis of CHD remains a persistent issue, thereby underscoring the need for modifications to national public healthcare policies to ensure optimal management.

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