{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:23:50Z","timestamp":1773887030469,"version":"3.50.1"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T00:00:00Z","timestamp":1306195200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951111000552_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Successful paediatric cardiac surgery and cardiology treatment has resulted in an increase in the use of surgery as a method of treatment of congenital cardiac disease in adult population. However, late detection and lower socio-economic condition in developing countries might change patients\u2019 characteristics by the time they come for treatment. This study aimed to elaborate the long-term surgical results of adult congenital cardiac disease in Indonesia as a developing country.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951111000552_abs2\" sec-type=\"general\"><jats:title>Methods and results<\/jats:title><jats:p>We reviewed retrospectively all adult congenital cardiac disease patients with a mean age of 28 years plus or minus 9.5 years, who underwent surgery at National Cardiovascular Center. The types of procedures used were corrective in 338 patients (89.2%), palliative in 10 patients (2.6%), and re-operations in 31 patients (8.2%). The overall hospital mortality rate was 2.6% but as high as 20% with palliative surgery. Post-operative New York Heart Association class III\u2013IV is the only independent predictor of death at 60 months (hazard ratio 61.48, 95% confidence interval 9.41\u2013401.69, p&lt;0.001). The survival rates were 96.3% and 95% for overall and non-atrial septal defect in patients at 60 months, which was highest in corrective procedures (97.6%). The percentage of patients free of re-operation at 5 years\u2019 follow-up was 85.4% and 42.7% at 10 years.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951111000552_abs3\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>In developing countries, surgical treatment of adult congenital cardiac disease is effective and safe, with an overall survival rate of 96.3% at 60 months. Due to high mortality rate, palliative surgery of a non-atrial septal defect patient is recommended to be discontinued. The independent predictor of mortality was post-operative New York Heart Association functional class III\u2013IV.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951111000552","type":"journal-article","created":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T08:36:14Z","timestamp":1306226174000},"page":"639-645","source":"Crossref","is-referenced-by-count":15,"title":["Adult congenital cardiac surgery in Indonesia"],"prefix":"10.1017","volume":"21","author":[{"given":"Karina V.","family":"Wilamarta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoga","family":"Yuniadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jusuf","family":"Rachmat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dicky","family":"Fakhri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarmizi","family":"Hakim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maizul","family":"Anwar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,5,24]]},"reference":[{"key":"S1047951111000552_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.08.058"},{"key":"S1047951111000552_ref6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.3.e197"},{"key":"S1047951111000552_ref4","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio0382"},{"key":"S1047951111000552_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.09.065"},{"key":"S1047951111000552_ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/heart.88.suppl_1.i1","article-title":"British Cardiac Society Report of the British Cardiac Society Working Party. Grown-up congenital heart (GUCH) disease: current needs and provision of service for adolescents and adults with congenital heart disease in the UK","volume":"88","author":"Somerville","year":"2002","journal-title":"Heart"},{"key":"S1047951111000552_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.032011"},{"key":"S1047951111000552_ref15","first-page":"263","volume-title":"Advanced Therapy in Cardiac Surgery","author":"Williams","year":"2003"},{"key":"S1047951111000552_ref1","doi-asserted-by":"publisher","DOI":"10.2459\/01.JCM.0000247441.79644.4b"},{"key":"S1047951111000552_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl020"},{"key":"S1047951111000552_ref3","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.48.1.283"},{"key":"S1047951111000552_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.07.045"},{"key":"S1047951111000552_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(03)00131-3"},{"key":"S1047951111000552_ref10","first-page":"2233","volume-title":"Sabiston and Spencer Surgery of the Chest","author":"Ashburn","year":"2005"},{"key":"S1047951111000552_ref12","first-page":"726","volume-title":"Kirklin\/Barratt-Boyes Cardiac Surgery","author":"Kouchoukos","year":"2003"},{"key":"S1047951111000552_ref7","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1093\/eurheartj\/ehi858","article-title":"On behalf of the Expert Committee of Euro heart survey on adult congenital heart disease. Delivery of care for adult patients with congenital heart disease in Europe: results from the Euro heart survey European","volume":"27","author":"Kaemmerer","year":"2006","journal-title":"Heart"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951111000552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:01:31Z","timestamp":1686096091000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951111000552\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,24]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,10,28]]}},"alternative-id":["S1047951111000552"],"URL":"https:\/\/doi.org\/10.1017\/s1047951111000552","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5,24]]}}}