Characterization of hydrothermal carbonization products from woodchip

L’idrotermocarbonizzazione è un processo che permette di convertire un’elevata quantità di materie prime solide in carbone. Ciò viene realizzato inserendo come sostanza in input, oltre alla materia prima iniziale, acqua liquida e, successivamente, riscaldando fino a 180°C, temperatura alla quale inizia la reazione esotermica ed il processo diventa di tipo stand-alone. Tale reazione presenta un tempo di reazione variabile nel range di 4÷12 h. I prodotti in uscita sono costituiti da una sostanza solida che ha le caratteristiche del carbone marrone naturale e un’acqua di processo, la quale è altamente inquinata da composti organici. In questo elaborato viene illustrata una caratterizzazione dei prodotti in uscita da un impianto di idrotermo carbonizzazione da laboratorio, il quale utilizza in input pezzi di legno tagliati grossolanamente. Inizialmente tale impianto da laboratorio viene descritto nel dettaglio, dopodiché la caratterizzazione viene effettuata attraverso DTA-TGA dei materiali in ingresso ed uscita; inoltre altre sostanze vengono così analizzate, al fine di confrontarle col char ed i pezzi di legno. Quindi si riporta anche un’analisi calorimetrica, avente l’obiettivo di determinare il calore di combustione del char ottenuto; attraverso questo valore e il calore di combustione dei pezzi di legno è stato possibile calcolare l’efficienza di ritenzione energetica del processo considerato, così come la densificazione energetica riscontrata nel materiale in uscita. In aggiunta, è stata eseguita un’analisi delle specie chimiche elementari sul char ed il legno in modo da determinare i seguenti parametri: fattori di ritenzione e fattori di ritenzione pesati sulla massa in termini di concentrazione di C, H, N e S. I risultati ottenuti da tale analisi hanno permesso di effettuare una caratterizzazione del char. Un tentativo di attivazione del char viene riportato, descrivendo la procedura di attivazione seguita e la metodologia utilizzata per valutare il buon esito o meno di tale tentativo di attivazione. La metodologia consiste di uno studio isotermo dell’adsorbimento di acido acetico sul char “attivato” attraverso una titolazione. I risultati sperimentali sono stati fittati usando le isoterme di Langmuir e Freundlich e confrontati con le capacità di adsorbimento del semplice char e di un campione di carbone attivo preso da un’azienda esterna. Infine si è considerata l’acqua di processo, infatti un’analisi fotometrica ne ha evidenziato le concentrazioni di TOC, COD, ioni nitrato e ioni fosfato. Questi valori sono stati conseguentemente confrontati con i limiti italiani e tedeschi massimi ammissibili per acque potabili, dando quindi un’idea quantitativa della contaminazione di tale acqua di processo.

Sintesi e caratterizzazione di nuovi materiali politioalchiltiofenici per applicazioni in celle solari bulk-heterojunction

L’oggetto della presente tesi di laurea magistrale consiste nello studio di polimeri coniugati nella catena principale, per una loro applicazione come materiali fotoattivi in celle fotovoltaiche. In particolare, sono stati sintetizzati e caratterizzati politiofeni tioalchil sostituiti, funzionalizzati in posizione 3-3' con catene alchiliche di diversa lunghezza e grado di ramificazione (tra cui una chirale), al fine di studiarne l'effetto sulle proprietà ottiche ed elettriche del materiale. I polimeri ottenuti sono stati caratterizzati mediante tecniche spettroscopiche (1H-NMR, UV-PL), cromatografia a permeazione su gel (GPC), analisi termiche (DSC, TGA) e misure elettrochimiche (voltammetria ciclica). Il comportamento chiro-ottico del campione chirale è stato inoltre valutato tramite misure di dicroismo circolare. Si è infine testata l’efficienza delle celle fotovoltaiche ottenute utilizzando i polimeri sintetizzati come materiale fotoattivo.

Bionanocomposites based on Plla, Pcl and montmorillonite: synthesis, characterization and crystallization

Poly(lactide) is one of the best candidate to replace conventional petroleum-based polymers, since it is biobased, biocompatible and biodegradable. However, commercial PLA materials typically have low crystallization rate resulting in long processing time and low production efficiency. In this work the effects of two nanofillers MMT30B and MMT30B-g-P(LA-co-CL) on the crystallization rate of neat PLA and PLA/PCL blend were investigated. MMT30B-g-P(LA-co-CL) was synthetized by in situ grafting reaction. The synthesis was carried in xylene at 140°C, upon the results of a screening. The grafted copolymers were evaluated by 1H-NMR ,ATR–IR and TGA. Solvent casted films were obtained by mixing MMT30B-g-P(LA-co-CL) at 5% (w/w) with neat PLA and PLA/PCL blend, comparing the properties with the corresponding blends with and without a 5% of (w/w) unmodified clay. SEM images on PLA based blends shows that MMT30B is aggregated into larger particles compared to MMT30B-g-P(LLA-co-CL). This behavior is correlated to the better exfoliation of MMT30B-g-P(LA-co-CL) clay layers. SEM images on PLA/PCL based blends exhibit the typical sea-island morphology, characteristic of immiscible blends. PLA is the matrix while PCL is finely dispersed in droplets. MMT30B does not reduce PCL droplets size, while MMT30B-g-P(LA-co-CL) reduces the size of PCL droplets. This means that MMT30B-g-P(LA-co-CL) can migrate to the PLA-PCL interface, acting as a compatibilizer. Non-isothermal DSC cooling scans show a fractionated crystallization of the PCL phase in PLA/PCL/MMT30B-g-P(LA-co-CL), confirming the compatibilizer effect of MMT30B-g-P(LA-co-CL). At the same timeMMT30B-g-P(LA-co-CL) can better nucleate the PLA phase, both in neat PLA and PLA/PCL blend, promoting the crystallization during the heating scans. In isothermal condition, both the nanofillers increase the crystallization rate of PLA phase in neat PLA, while in PLA/PCL blends the effect is covered by the nucleating effect of PCL.

Ottimizzazione del processo di sintesi di microcapsule melammina-formaldeide

Lo scopo di questo elaborato di tesi è sintetizzare microcapsule di dimensioni non superiori ai 20 micron, contenenti un composto termocromico in modo da funzionare come indicatori di temperatura. Le capsule devono essere quindi in grado di variare la propria colorazione in funzione della temperatura del mezzo in cui sono disperse o dell’ambiente circostante, senza degradarsi. Il core è costituito da una miscela contenente un pigmento termocromico il cui colore varia da verde intenso se mantenuto a temperature ambiente, fino ad un verde pallido, quasi bianco, per temperature inferiori ai 10°C. Il core è stato quindi incapsulato in uno shell, costituito da una resina melammina-formaldeide (MF) mediante polimerizzazione in situ. Questo processo prevede la sintesi di un prepolimero MF che viene poi fatto reticolare in presenza di una emulsione del core in soluzione acquosa. Per prima cosa è stato ottimizzata la sintesi del prepolimero a partire da una soluzione acquosa di melammina e formaldeide. Vista la tossicità della formaldeide (H341-H350-H370) è stata studiata anche la possibilità di sostituire questo reagente con la sua forma polimerica (paraformaldeide) che a 45°C circa degrada rilasciando formaldeide in situ. In questo modo il processo risulta molto più sicuro anche in previsione di un suo possibile sviluppo industriale. In seguito è stato ottimizzato il processo di microincapsulazione in emulsione su vari tipi di core e studiando l’effetto di vari parametri (pH, temperatura, rapporto core/shell, tipo di emulsionante ecc.), sulle dimensioni e la stabilità delle microcapsule finali. Queste sono quindi state caratterizzate mediante spettrometria Infrarossa in trasformata di Fourier (FT-IR) e la loro stabilità termica è stata controllata tramite analisi TermoGravimetrica (TGA). Il processo di reticolazione (curing) della resina, invece, è stato studiato tramite Calorimetria Differenziale a Scansione (DSC). Le microcapsule sono inoltre state analizzate tramite Microscopio Elettronico (OM) e Microscopio Elettronico a Scansione (SEM).

Right ventricular absolute myocardial blood flow in complex congenital heart disease

A consequence in patients with d-transposition of the great arteries (d-TGA) and tetralogy of Fallot (TOF) is right ventricular hypertrophy (RVH) and right ventricular failure. Myocardial contrast echocardiography (MCE) permits the determination of the myocardial microvascular density reflected by the relative myocardial blood volume (rBV; ml/ml). This study was conducted to elucidate the relationship between RVH and myocardial microvascular changes by quantitative MCE in patients with d-TGA and TOF.

Comportement thermique des géopolymères obtenus à partir d'une argile kaolinite

The aim of this work is to study the thermal behavior of geopolymers derived from kaolinite (clay). The geopolymers were characterized by various technics: Thermal analysis (DTA, TGA and dilatometer), X-ray diffractography (XRD), scanning electron microscopy (SEM) and Fourier transform infrared spectroscopy (FTIR). Certain physical properties of the products were equally determined: linear shrinkage of curing, percentage of water absorption and compressive strength. The results obtained after drying and thermal treatment showed that the products preserved their initial forms, but showed variable colours based on the temperatures they were treated at. The products obtained at 90, 300 and 500 °C contained hydroxysodalite. The synthesis of geopolymers is not complete at 300 °C (presence of kaolinite in the material) but the products obtained are quite consolidated. The geopolymers obtained have weak values of linear shrinkage of curing (less than 0.6 %) and the compressive strength increases from room temperature (4.9 Mpa) up to 400 °C (8.9 MPa) then becomes constant between 400 and 500 °C. The combination of results demonstrates the efficiency of the temperature parameter during the synthesis of geopolymers based on kaolinite. // L’objet de ce travail est l’étude du comportement thermique des géopolymères à base d’une argile kaolinite. Les produits obtenus ont été caractérisés au moyen de plusieurs techniques : analyses thermiques (ATD, ATG et dilatométrie), microscopie électronique à balayage (MEB), analyse par diffraction de rayons X (DRX), analyse infrarouge par transformée de Fourier (IRTF). Certaines propriétés physiques des produits obtenus ont également été déterminées : retrait linéaire de cuisson, pourcentage d’absorption d’eau et résistance à la compression. Les résultats obtenus montrent qu’après le séchage et à la fin du traitement thermique, les éprouvettes des produits conservent leur forme initiale mais présentent une variation de couleur en fonction de la température de traitement. Les produits obtenus à 90, 300 et 500 °C contiennent de l’hydroxysodalite. La réaction de synthèse géopolymère n’est pas encore terminée au moins à 300 °C (présence de kaolinite dans le matériau) mais les produits obtenus sont assez consolidés. Les géopolymères obtenus présentent de faibles valeurs de retrait linéaire de cuisson (inférieure à 0,6 %) et une résistance à la compression qui augmente de la température ambiante (4,9 MPa) jusqu’à 400 °C (8,9 MPa) puis devient constante entre 400 et 500 °C. L’ensemble de ces résultats permet de mettre en exergue l’efficacité du paramètre « température » au cours de la synthèse des géopolymères à base de kaolinite.

Influence of cristalline structure of two minerals clays of type 1/1 on their pozzolanic power

Two clayey materials, one provided by a patner in mineral sector and the other coming from Balengou (West Region Cameroon) were subject of a comparative study in order to evaluate the influence of their crystalline structure on their pozzolanic property. These two natural materials were preliminary enriched in clay minerals by wet sieving and the fractions obtained are denoted K and H respectively. K and H were calcinated at 700 °C, with a heating rate of 5 °C/min and 10 hours dwell at the peak temperature, the products obtained were named MK and MH. Samples K, H, MK and MH were physicochemically characterized by the chemical (ICP), thermal(TGA/DTA) and mineralogical (DRX and Spectrometry IR) analyses together with the measurement of specific surface (BET), crystallinity and the pouzzolanicity test. The results confirmed K as a kaolinitic and H halloysic clay. The kaolinite and the halloysite respectively presented in these clayey materials exhibited a poor crystallinity, but the degree of disorder is higher in K than in H. These results were largely affected by the significant fraction of gibbsite in kaolinitic clay K. At the crude state, the pozzolanic activity of the material H is weak compared with that of K, but the heat treatment makes largely improve this property for both samples.

Distensibility and diameter of ascending aorta assessed by cardiac magnetic resonance imaging in adults with tetralogy of fallot or complete transposition

Structural abnormalities of the medial aorta have been described for conotruncal defects (e.g., tetralogy of Fallot [TOF] and complete transposition of the great arteries (dextrotransposition [d]-TGA). In TOF, progressive aortic dilation is a frequent finding. In patients with d-TGA with an atrial switch, this problem is less often described. The aim of the present study was to compare the extent of dilative aortopathy and aortic distensibility in adults with an atrial switch procedure (n = 39) to that in adults with repaired TOF (n = 39) and controls (n = 39), using cardiac magnetic resonance imaging. The groups were matched for age and gender. Diameters of the aorta indexed to the body surface area were significantly increased in the patients with d-TGA and TOF compared to that of the controls at the aortic sinus up to the level of the right pulmonary artery. On multivariate testing, the diagnosis of a conotruncal defect (β = 0.260; p = 0.003) and aortic regurgitant fraction (β = 0.405; p <0.001) were independent predictors of an increased aortic sinus diameter. Ascending aorta distensibility was significantly reduced in those with d-TGA and TOF compared to controls: 3.6 (interquartile range 1.5 to 4.4) versus 2.8 (interquartile range 2.0 to 3.7) versus 5.5 (interquartile range 4.8 to 6.9) ×10(-3) mm Hg(-1) (p <0.001). The independent predictors of ascending aorta distensibility were the diagnosis of a conotruncal defect (p <0.001) and age (p = 0.028). In conclusion, intrinsic aortopathy, manifested as increased ascending aortic diameters and reduced ascending aortic distensibility, is not only evident in adults with TOF, but also in adults with d-TGA and an atrial switch procedure. Long-term follow-up is needed to monitor the aortic size in both patient groups.

Outcome in adult patients after arterial switch operation for transposition of the great arteries

BACKGROUND: The arterial switch operation (ASO) is currently the treatment of choice in neonates with transposition of the great arteries (TGA). The outcome in childhood is encouraging but only limited data for long-term outcome into adulthood exist. METHODS AND RESULTS: We studied 145 adult patients (age>16, median 25years) with ASO followed at our institution. Three patients died in adulthood (mortality 2.4/1000-patient-years). Most patients were asymptomatic and had normal left ventricular function. Coronary lesions requiring interventions were rare (3 patients) and in most patients related to previous surgery. There were no acute coronary syndromes. Aortic root dilatation was frequent (56% patients) but rarely significant (>45mm in 3 patients, maximal-diameter 49mm) and appeared not to be progressive. There were no acute aortic events and no patient required elective aortic root surgery. Progressive neo-aortic-valve dysfunction was not observed in our cohort and only 1 patient required neo-aortic-valve replacement. Many patients (42.1%), however, had significant residual lesions or required reintervention in adulthood. Right ventricular outflow tract lesions or dysfunction of the neo-pulmonary-valve were frequent and 8 patients (6%) required neo-pulmonary-valve replacement. Cardiac interventions during childhood (OR 3.0, 95% CI 1.7-5.4, P<0.0001) were strong predictors of outcome (cardiac intervention/significant residual lesion/death) in adulthood. CONCLUSIONS: Adult patients with previous ASO remain free of acute coronary or aortic complications and have low mortality. However, a large proportion of patients require re-interventions or present with significant right sided lesions. Life-long cardiac follow-up is, therefore, warranted. Periodic noninvasive surveillance for coronary complications appears to be safe in adult ASO patients.

Multiscale Characterization of Acrylic Bone Cement Modified with Functionalized Mesoporous Silica Nanoparticles

Acrylic bone cement is widely used to anchor orthopedic implants to bone and mechanical failure of the cement mantle surrounding an implant can contribute to aseptic loosening. In an effort to enhance the mechanical properties of bone cement, a variety of nanoparticles and fibers can be incorporated into the cement matrix. Mesoporous silica nanoparticles (MSNs) are a class of particles that display high potential for use as reinforcement within bone cement. Therefore, the purpose of this study was to quantify the impact of modifying an acrylic cement with various low-loadings of mesoporous silica. Three types of MSNs (one plain variety and two modified with functional groups) at two loading ratios (0.1 and 0.2 wt/wt) were incorporated into a commercially available bone cement. The mechanical properties were characterized using four-point bending, microindentation and nanoindentation (static, stress relaxation, and creep) while material properties were assessed through dynamic mechanical analysis, differential scanning calorimetry, thermogravimetric analysis, FTIR spectroscopy, and scanning electron microscopy. Four-point flexural testing and nanoindentation revealed minimal impact on the properties of the cements, except for several changes in the nano-level static mechanical properties. Conversely, microindentation testing demonstrated that the addition of MSNs significantly increased the microhardness. The stress relaxation and creep properties of the cements measured with nanoindentation displayed no effect resulting from the addition of MSNs. The measured material properties were consistent among all cements. Analysis of scanning electron micrographs images revealed that surface functionalization enhanced particle dispersion within the cement matrix and resulted in fewer particle agglomerates. These results suggest that the loading ratios of mesoporous silica used in this study were not an effective reinforcement material. Future work should be conducted to determine the impact of higher MSN loading ratios and alternative functional groups. (C) 2014 Elsevier Ltd. All rights reserved.

A BAYESIAN HIERARCHICAL FRAMEWORK FOR SPATIAL MODELING OF fMRI DATA

Functional neuroimaging techniques enable investigations into the neural basis of human cognition, emotions, and behaviors. In practice, applications of functional magnetic resonance imaging (fMRI) have provided novel insights into the neuropathophysiology of major psychiatric,neurological, and substance abuse disorders, as well as into the neural responses to their treatments. Modern activation studies often compare localized task-induced changes in brain activity between experimental groups. One may also extend voxel-level analyses by simultaneously considering the ensemble of voxels constituting an anatomically defined region of interest (ROI) or by considering means or quantiles of the ROI. In this work we present a Bayesian extension of voxel-level analyses that offers several notable benefits. First, it combines whole-brain voxel-by-voxel modeling and ROI analyses within a unified framework. Secondly, an unstructured variance/covariance for regional mean parameters allows for the study of inter-regional functional connectivity, provided enough subjects are available to allow for accurate estimation. Finally, an exchangeable correlation structure within regions allows for the consideration of intra-regional functional connectivity. We perform estimation for our model using Markov Chain Monte Carlo (MCMC) techniques implemented via Gibbs sampling which, despite the high throughput nature of the data, can be executed quickly (less than 30 minutes). We apply our Bayesian hierarchical model to two novel fMRI data sets: one considering inhibitory control in cocaine-dependent men and the second considering verbal memory in subjects at high risk for Alzheimer’s disease. The unifying hierarchical model presented in this manuscript is shown to enhance the interpretation content of these data sets.

Synthesis of PDMS-metal oxide hybrid nanocomposites using an in situ sol-gel route

Organic-inorganic hybrid nanocomposites are widely studied and applied in broad areas because of their ability to combine the flexibility, low density of the organic materials with the hardness, strength, thermal stability, good optical and electronic properties of the inorganic materials. Polydimethylsiloxane (PDMS) due to its excellent elasticity, transparency, and biocompatibility has been extensively employed as the organic host matrix for nanocomposites. For the inorganic component, titanium dioxide and barium titanate are broadly explored as they possess outstanding physical, optical and electronic properties. In our experiment, PDMS-TiO2 and PDMS-BaTiO3 hybrid nanocomposites were fabricated based on in-situ sol-gel technique. By changing the amount of metal precursors, transparent and homogeneous PDMS-TiO2 and PDMS-BaTiO3 hybrid films with various compositions were obtained. Two structural models of these two types of hybrids were stated and verified by the results of characterization. The structures of the hybrid films were examined by a conjunction of FTIR and FTRaman. The morphologies of the cross-sectional areas of the films were characterized by FESEM. An Ellipsometer and an automatic capacitance meter were utilized to evaluate the refractive index and dielectric constant of these composites respectively. A simultaneous DSC/TGA instrument was applied to measure the thermal properties. For PDMS-TiO2 hybrids, the higher the ratio of titanium precursor added, the higher the refractive index and the dielectric constant of the composites are. The highest values achieved of refractive index and dielectric constant were 1.74 and 15.5 respectively for sample PDMS-TiO2 (1-6). However, when the ratio of titanium precursor to PDMS was as high as 20 to 1, phase separation occurred as evidenced by SEM images, refractive index and dielectric constant decreased. For PDMS-BaTiO3 hybrids, with the increase of barium and titanium precursors in the system, the refractive index and dielectric constant of the composites increased. The highest value was attained in sample PDMS-BaTiO3 (1-6) with a refractive index of 1.6 and a dielectric constant of 12.2. However, phase separation appeared in SEM images for sample PDMS-BaTiO3 (1-8), the refractive index and dielectric constant reduced to lower values. Different compositions of PDMS-TiO2 and PDMS-BaTiO3 hybrid films were annealed at 60 °C and 100 °C, the influences on the refractive index, dielectric constant, and thermal properties were investigated.

COORDINATION CHEMISTRY OF BIS(BENZYL)PHOSPHINATE

The work presented in this dissertation deals with the coordination chemistry of the bis(benzyl)phosphinate ligand with vanadium, tungsten and cobalt. The long term goal of this project was to produce and physically characterize high oxidation state transition metal oxide phosphinate compounds with potential catalytic applications. The reaction of bis(benzyl)phosphinic acid with VO(acac)2 in the presence of water or pyridine leads to the synthesis of trimeric vanadium(IV) clusters (V3(µ3-O)O2)(µ2-O2P(CH2C6H5)2)6(H2O) and (V3(µ3-O)O2)(µ2-O2P(CH2C6H5)2)6(py). In contrast, when diphenylphosphinic acid or 2-hydroxyisophosphindoline-2-oxide were reacted with VO(acac)2, insoluble polymeric compounds were produced. The trimeric clusters were characterized using FTIR, elemental analysis, single crystal diffraction, room temperature magnetic susceptibility, thermogravimetric analysis and differential scanning calorimetry. The variable-temperature, solid-state magnetic susceptibility was measured on (V3(µ3-O)O2)(µ2-O2P(CH2C6H5)2)6(py). The polymeric compounds were characterized using FTIR, powder diffraction and elemental analysis. Two different cubane clusters made of tungsten(V) and vanadium(V) were stabilized using bis(benzyl)phosphinate. The oxidation of (V3(µ3-O)O2)(µ2-O2P(CH2C6H5)2)6(H2O) with tBuOOH led to the formation of V4(µ3-O)4(µ2-O2P(Bn)2)4(O4). W4(µ3-O)4(µ2-O2P(Bn)2)4(O4) was produced by heating W(CO)6 in a 1:1 mixture of EtOH/THF at 120 ˚C. Both compounds were characterized using single crystal diffraction, FTIR, 31P-NMR, 1H-NMR and elemental analysis. W4(µ3-O)4(µ2-O2P(Bn)2)4(O4) was also characterized using UV-vis. Cobalt(II) reacted with bis(benzyl)phosphinate to produce three different dinuclear complexes. [(py)3Co(µ2-O2P(Bn)2)3Co(py)][ClO4], (py)3Co(µ2-O2P(Bn)2)3Co(Cl) and (py)(µ2-NO3)Co(µ2-O2P(Bn)2)3Co(py) were all characterized using single crystal diffraction, elemental analysis and FTIR. Room temperature magnetic susceptibility measurements were performed on [(py)3Co(µ2-O2P(Bn)2)3Co(py)][ClO4] and (py)3Co(µ2-O2P(Bn)2)3Co(Cl). The variable-temperature, solid-state magnetic susceptibility was also measured on [(py)3Co(µ2-O2P(Bn)2)3Co(py)][ClO4].

Quality of life of grown-up congenital heart disease patients after congenital cardiac surgery

BACKGROUND: Due to better early and long-term outcome, the increasing population of grown-ups with congenital heart disease (GUCH) brings up unexpected quality of life (QoL) issues. The cardiac lesion by itself is not always the major problem for these patients, since issues pertaining to QoL and psychosocial aspects often predominate. This study analyses the QoL of GUCH patients after cardiac surgery and the possible impact of medical and psychosocial complications. PATIENTS AND METHODS: A questionnaire package containing the SF-36 health survey (health related QoL), the HADS test (anxiety/depression aspects) and an additional disease specific questionnaire was sent to 345 patients (mean 26+/-11 years) operated for isolated transposition of the great arteries (TGA), tetralogy of Fallot (TOF), and ventricular septal defect (VSD). The scores were compared with age- and gender-matched standard population data and in relation to the underlying congenital heart disease (CHD). RESULTS: In all SF-36 and HADS health dimensions the GUCH patients showed excellent scores (116+/-20), which are comparable to the standard population (100+/-15), regardless of the initial CHD (p=0.12). Eighty-two percent of the patients were found to be in NYHA class I and 83% patients declared that they do not consider their QoL to be limited by their malformation. Complications like reoperations (p=0.21) and arrhythmias (p=0.10) do not show significant impact on the QoL. The additional questionnaire revealed that 76% of adult patients have a fulltime job, 18% receive a full or partial disability pension, 21% reported problems with insurances, most of them regarding health insurances (67%), and 4.4% of adult patients declared to have renounced the idea of having children due to their cardiac malformation. CONCLUSION: QoL in GUCH patients following surgical repair of isolated TOF, TGA and VSD is excellent and comparable to standard population, this without significant difference between the diagnosis groups. However, these patients are exposed to a high rate of complications and special psychosocial problems, which are not assessed by standardized questionnaires, such as the SF-36 and HADS. These findings highlight the great importance for a multidisciplinary and specialized follow-up for an adequate management of these complex patients.