ArticleIndian journal of thoracic and cardiovascular surgery2026
Impact of prior congenital heart surgery on coronary artery bypass grafting outcomes in adults with congenital heart disease.
Article in Indian journal of thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background: The long-term impact of prior congenital heart disease (CHD) surgeries on adult cardiac surgery outcomes remains underexplored. Our study evaluates the influence of prior congenital heart interventions on postoperative outcomes in adult patients undergoing cardiac surgery. Method: We conducted a retrospective cohort study using the TriNetX database, analyzing adults with repaired CHD who later underwent coronary artery bypass grafting (CABG). This cohort was then compared to age-, gender-, race-, ethnicity-, comorbidity-, medication-, and CHD diagnosis-matched controls of patients with unrepaired CHD requiring CABG in adulthood. After propensity score matching, each group included 1425 individuals. Results: After matching, there were no statistically significant differences in baseline characteristics. Patients with a history of prior CHD surgical repair had significantly lower odds of 30-day all-cause mortality (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.21-0.52, Conclusion: These results suggest that patients with prior CHD repairs can successfully undergo coronary revascularization later in life despite having a distinct postoperative risk profile. However, it may also predispose patients with repaired CHD to higher rates of certain postoperative complications, including arrhythmias, pleural effusion, and AKI. Graphical abstract:
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