Task: Question Generation
Input (English): Context: As a result of improved diagnostic methods, medical treatment, surgical correction, and palliation in childhood, there is a growing number of adult patients with congenital heart disease (CHD) who may experience heart failure and subsequently require heart transplantation (HT). Because of complex anatomy, previous operations, and frequently increased pulmonary vascular resistance (PVR), these patients represent a group with a higher risk of early mortality after transplantation.', 'From May 1999 to December 2014, our institution performed 25 HTs in adult patients with end-stage CHD. We present our data and outcomes of transplantation in this group.', 'The median age at transplantation was 38\xa0years (range, 18.4-53.7 years). Survival was 88% at 30 days, 88% at 1 year, and 77% at 5 years. We identified long donor heart ischemic time (>4 hours) as an important risk factor for early mortality. There\xa0was no significant difference in the survival of\xa0patients undergoing transplantation for CHD and\xa0patients undergoing transplantation for other diagnoses.
Answer: With careful donor and recipient selection, adults with end-stage CHD undergoing HT can achieve excellent early and midterm survival, comparable to the survival of patients who undergo transplantation for other diagnoses.
Output (English): Does non-Fontan Adult Congenital Heart Disease Transplantation Survival be Equivalent to Acquired Heart Disease Transplantation Survival?