Jeroen C. Vis

A 57-year-old patient presented 6 months after a thoracolaparoscopic Ivor Lewis esophageal resection for T3N1M0 esophageal adenocarcinoma after neoadjuvante chemoradiotherapy, at our surgical unit with acute abdominal pain and vomiting. An intestinal obstruction was suspected. The cardiologist was consulted pre-operatively, as he had a history of acute anterior infarction, and his pain radiated to his chest with positive cardiac markers. Acute coronary syndrome was unlikely, but …

Identification of adults with congenital heart disease (CHD) who were lost to cardiological follow-up. Cross-sectional study. Adults with CHD and not under cardiological follow-up were asked via a nationwide publicity campaign to contact the CONCOR (CONgenital CORvitia) project group. A total of 593 patients with mild (85%) to moderate-severe (15%) CHD were registered via the nationwide campaign. Of these patients, 66% were examined within 1 year by a cardiologist. Additional cardiac follow-up was necessary within 1 year in 22% of these patients. In 16% of the patients, new residual lesions were found; and in three of these patients the pulmonary valve required replacement. During this comprehensive nationwide campaign it became clear that a considerable number of adults with CDH fail to receive regular cardiac care. However, after surgical correction of CHD in childhood, residual lesions are common in this population. Threatening residual lesions can be present asymptomatically. Cardiological follow-up is therefore almost always necessary, also in patients without symptoms. Patients with CHD as well as their medical care personnel need to be well informed of this.