Outcome of complex adult congenital heart surgery in the developing world.

Background: There is scanty information on the outcome of adult congenital heart disease surgery from the developing world.

Methods: This was a retrospective chart review of the surgical outcome of 153 adults with congenital heart disease over a 5-year period. Surgical atrial septal defect closure was considered "simple" while all other surgeries were considered "complex.

Extracardiac Fontan operation after late bidirectional Glenn shunt.

The outcomes of 33 consecutive extracardiac Fontan operations performed between 1999 and 2008 in patients who mostly had initial Glenn shunts beyond infancy were reviewed. Preoperatively, the median oxygen saturation was 76.2% and mean pulmonary artery pressure was 10.