Table 2.
Acquired (total, (1) + (2) + (4) + (5) + (6) + (7) + isolated operations for arrhythmia in (3); 38,592
| (1) Valvular heart disease (total; 23,340) | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Valve | Cases | Operation | 30-Day mortality | Hospital mortality | Redo | ||||||||||||
| Mechanical | Bioprosthesis | Repair | Unknown | With CABG | Hospital | After discharge | Cases | 30-Day mortality | Hospital mortality | ||||||||
| Replace | Repair | Replace | Repair | Replace | Repair | Hosipital | After discharge | ||||||||||
| Isolated | A | 10,268 | 1,271 | 8,720 | 178 | 99 | 2489 | 175 (1.8) | 4 (2.3) | 2 (0.02) | 0 | 294 (2.9) | 5 (2.8) | 670 | 31 (4.6) | 0 | 45 (6.7) |
| M | 5,239 | 428 | 970 | 3,810 | 31 | 560 | 56 (4.0) | 30 (0.8) | 2 (0.1) | 0 | 89 (6.4) | 47 (1.2) | 620 | 25 (4.0) | 0 | 38 (6.1) | |
| T | 629 | 6 | 107 | 511 | 5 | 58 | 2 (1.8) | 18 (3.5) | 0 | 0 | 7 (6.2) | 32 (6.3) | 122 | 7 (5.7) | 0 | 15 (12.3) | |
| P | 31 | 0 | 26 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19 | 0 | 0 | 0 | |
| A+M | 1,345 | 202 | 54 (4.0) | 0 | 88 (6.5) | 173 | 12 (6.9) | 0 | 21 (12.1) | ||||||||
| A | 238 | 1057 | 42 | 8 | |||||||||||||
| M | 160 | 463 | 714 | 8 | |||||||||||||
| A+T | 564 | 94 | 10 (1.8) | 0 | 30 (5.3) | 77 | 2 (2.6) | 0 | 6 (7.8) | ||||||||
| A | 61 | 485 | 11 | 7 | |||||||||||||
| T | 2 | 12 | 547 | 3 | |||||||||||||
| M+T | 4,033 | 327 | 58 (1.8) | 1 (0.02) | 99 (2.5) | 466 | 16 (3.4) | 0 | 23 (4.9) | ||||||||
| M | 378 | 1,118 | 2,519 | 18 | |||||||||||||
| T | 1 | 51 | 3,961 | 20 | |||||||||||||
| A+M+T | 1,143 | 122 | 42 (3.7) | 0 | 70 (6.1) | 111 | 5 (4.5) | 0 | 12 (10.8) | ||||||||
| A | 161 | 945 | 26 | 11 | |||||||||||||
| M | 112 | 436 | 589 | 6 | |||||||||||||
| T | 2 | 3 | 1,135 | 3 | |||||||||||||
| Others | 88 | 7 | 2 (2.3) | 0 | 3 (3.4) | 22 | 0 | 0 | 1 (4.6) | ||||||||
| Unknown | 4 | 6 | |||||||||||||||
| Total | 23,340 | 3859 | 456 (2.0) | 5 (0.02) | 770 (3.3) | 2,280 | 98 (4.3) | 0 | 161 (7.1) | ||||||||
| ( ), % mortality | |||||||||||||||||
| TAVR | Cases | 30-day mortality |
|---|---|---|
| 8664 | 103 (1.2) |
| (2) Ischemic heart disease (total, (A) + (B) ; 12,603) | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (A) Isolated CABG (total; (a)+(b); 11307) | |||||||||||||||||||||
| (a-1) On-pump arrest CABG (total;2491) | |||||||||||||||||||||
| Primary, elective | Primary, emergent | Redo, elective | Redo, emergent | Artery only | Artery +svg | Svg only | Others | Unclear | |||||||||||||
| Cases | 30 Day mortality | Hospital mortality | Cases | 30 Day mortality | Hospital mortality | Cases | 30 Day mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | ||||||||||
| Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | ||||||||||||||
| 1VD | 45 | 11 | 4 | 0 | 18 | 29 | 10 | 2 | 1 | ||||||||||||
| 2VD | 273 | 2 (0.7) | 2 (0.7) | 47 | 3 (6.4) | 5 (10.6) | 2 | 0 | 37 | 257 | 23 | 3 | 2 | ||||||||
| 3VD | 926 | 8 (0.9) | 1 (0.1) | 13 (1.4) | 130 | 9 (6.9) | 12 (9.2) | 2 | 0 | 45 | 946 | 47 | 6 | 14 | |||||||
| LMT | 781 | 10 (1.3) | 20 (2.6) | 240 | 14 (5.8) | 22 (9.2) | 5 | 0 | 60 | 890 | 60 | 9 | 7 | ||||||||
| No info | 16 | 0 | 8 | 2 (25.0) | 1 | 1 | 1 (100.0) | 1 (100.0) | 6 | 7 | 10 | 1 | 2 | ||||||||
| Total | 2041 | 20 (1.0) | 1 (0.0) | 35 (1.7) | 436 | 26 (6.0) | 41 (9.4) | 14 | 1 | 1 (100.0) | 1 (100.0) | 166 | 2129 | 150 | 21 | 26 | |||||
| Kawasaki | 2 | 1 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | ||||||||||||
| On dialysis | 237 | 5 (2.1) | 1 (0.4) | 11 (4.6) | 49 | 4 (8.2) | 9 (18.4) | 1 | 0 | 11 | 248 | 25 | 2 | 1 | |||||||
| ( ), % mortality | |||||||||||||||||||||
| LMT includes LMT alone or LMT with other branch diseases | |||||||||||||||||||||
| CABG coronary artery bypass grafting; 1VD one-vessel disease; 2VD two-vessel disease; 3VD three-vessel disease; LMT left main trunk; SVG saphenous vein graft | |||||||||||||||||||||
| (a-2) On-pump beating CABG (total;2,307) | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary, elective | Primary, emergent | Redo, elective | Redo, emergent | Artery only | Artery +svg | Svg only | Others | Unclear | |||||||||||||
| Cases | 30 day Mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | ||||||||||
| Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | ||||||||||||||
| 1VD | 28 | 0 (0.0) | 10 | 1 (10.0) | 2 (20.0) | 3 | 1 | 1 | 1 (100.0) | 1 (100.0) | 14 | 19 | 8 | 0 | 1 | ||||||
| 2VD | 211 | 1 (0.5) | 1 (0.5) | 49 | 10 (20.4) | 14 (28.6) | 2 | 0 | 46 | 186 | 24 | 1 | 5 | ||||||||
| 3VD | 765 | 14 (1.8) | 2 (0.3) | 24 (3.1) | 187 | 13 (7.0) | 22 (11.8) | 9 | 1 (11.1) | 1 (11.1) | 1 | 1 (100.0) | 1 (100.0) | 72 | 841 | 36 | 9 | 4 | |||
| LMT | 676 | 5 (0.7) | 14 (2.1) | 330 | 14 (4.2) | 27 (8.2) | 10 | 1 (10.0) | 2 | 2 (100.0) | 2 (100.0) | 127 | 834 | 50 | 2 | 5 | |||||
| no info | 16 | 1 (6.3) | 1 (6.3) | 11 | 1 (9.1) | 1 (9.1) | 0 | 4 | 1 (25.0) | 1 (25.0) | 8 | 15 | 7 | 1 | 0 | ||||||
| Total | 1696 | 21 (1.2) | 2 (0.1) | 40 (2.4) | 587 | 39 (6.6) | 66 (11.2) | 24 | 1 (4.2) | 3 (12.5) | 8 | 5 (62.5) | 5 (62.5) | 267 | 1895 | 125 | 13 | 15 | |||
| Kawasaki | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | ||||||||||||
| On dialysis | 214 | 12 (5.6) | 19 (8.9) | 80 | 7 (8.8) | 16 (20.0) | 5 | 1 (20.0) | 2 (40.0) | 1 | 1 (100.0) | 1 (100.0) | 22 | 253 | 22 | 1 | 2 | ||||
| ( ), % mortality | |||||||||||||||||||||
| LMT includes LMT alone or LMT with other branch diseases | |||||||||||||||||||||
| CABG coronary artery bypass grafting; 1VD one-vessel disease; 2VD two-vessel disease; 3VD three-vessel disease; LMT left main trunk; SVG saphenous vein graft | |||||||||||||||||||||
| (b) Off-pump CABG (total;6509) | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (Including cases of planned off-pump CABG in which, during surgery, the change is made to an on-pump CABG or on-pump beating-heart procedure) | |||||||||||||||||||||
| Primary, elective | Primary, emergent | Redo, elective | Redo, emergent | Artery only | Artery +svg | Svg only | Others | Unclear | |||||||||||||
| Cases | 30 day mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | Cases | 30 day mortality | Hospital mortality | Cases | 30 Day mortality | Hospital mortality | ||||||||||
| Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | ||||||||||||||
| 1VD | 352 | 2 (0.6) | 2 (0.6) | 44 | 3 (6.8) | 5 (11.4) | 2 | 3 | 1 (33.3) | 1 (33.3) | 293 | 71 | 35 | 1 | 1 | ||||||
| 2VD | 860 | 3 (0.3) | 13 (1.5) | 112 | 3 (2.7) | 1 (0.9) | 4 (3.6) | 7 | 1 (14.3) | 1 (14.3) | 1 | 1 (100.0) | 1 (100.0) | 335 | 606 | 33 | 0 | 6 | |||
| 3VD | 2158 | 15 (0.7) | 26 (1.2) | 305 | 6 (2.0) | 14 (4.6) | 12 | 1 (8.3) | 1 (8.3) | 1 | 468 | 1931 | 50 | 11 | 16 | ||||||
| LMT | 2028 | 17 (0.8) | 1 (0.0) | 30 (1.5) | 513 | 23 (4.5) | 1 (0.2) | 30 (5.8) | 18 | 1 (5.6) | 1 (5.6) | 9 | 1 (11.1) | 1 (11.1) | 667 | 1801 | 86 | 5 | 9 | ||
| No info | 83 | 0 (0.0) | 0 (0.0) | 13 | 1 (7.7) | 1 (7.7) | 2 | 2 | 1 (50.0) | 1 (50.0) | 24 | 63 | 9 | 1 | 3 | ||||||
| Total | 5481 | 37 (0.7) | 1 (0.0) | 71 (1.3) | 987 | 36 (3.6) | 2 (0.2) | 54 (5.5) | 41 | 3 (7.3) | 3 (7.3) | 16 | 4 (25.0) | 4 (25.0) | 1787 | 4472 | 213 | 18 | 35 | ||
| Kawasaki | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||
| On dialysis | 556 | 8 (1.4) | 22 (4.0) | 90 | 4 (4.4) | 6 (6.7) | 7 | 1 (14.3) | 1 (14.3) | 5 | 2 (40.0) | 2 (40.0) | 174 | 448 | 29 | 2 | 5 | ||||
| ( ), % mortality | |||||||||||||||||||||
| LMT includes LMT alone or LMT with other branch diseases | |||||||||||||||||||||
| CABG coronary artery bypass grafting; 1VD one-vessel disease; 2VD two-vessel disease; 3VD three-vessel disease; LMT left main trunk; SVG saphenous vein graft | |||||||||||||||||||||
| (c) Cases of conversion, during surgery, from off-pump CABG to on-pump CABG or on- pump beating-heart CABG (these cases are also included in category (b)) | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary, elective | Primary, emergent | Redo, elective | Redo, emergent | |||||||||||||
| Cases | 30 Day mortality | Hospital mortality | Cases | 30 Day mortality | Hospital mortality | Cases | 30 Day mortality | Hospital mortality | Cases | 30 Day mortality | Hossspital mortality | |||||
| Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | |||||||||
| Converted to arrest | 21 | 2 (9.5) | 3 | 0 | ||||||||||||
| Converted to beating | 102 | 6 (5.9) | 9 (8.8) | 39 | 3 (7.7) | 7 (17.9) | 6 | 1 (16.7) | 1 (16.7) | 1 | 1 (100.0) | 1 (100.0) | ||||
| Total | 123 | 6 (4.9) | 11 (8.9) | 42 | 3 (7.1) | 7 (16.7) | 6 | 1 (16.7) | 1 (16.7) | 1 | 1 (100.0) | 1 (100.0) | ||||
| On dialysis | 21 | 2 (9.5) | 5 (23.8) | 7 | 1 (14.3) | 3 (42.9) | 5 | 1 (20.0) | 1 (20.0) | 0 | ||||||
| ( ), % mortality | ||||||||||||||||
| CABG coronary artery bypass grafting | ||||||||||||||||
| (B) Operation for complications of MI (total; 1296) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Chronic | Acute | Concomitant operation | |||||||||
| Cases | 30-day mortality | Hospital mortality | Cases | 30-day mortality | Hospital mortality | CABG | MVP | MVR | |||
| Hospital | After discharge | Hospital | After discharge | ||||||||
| Infarctectomy or Aneurysmectomy | 99 | 6 (6.1) | 8 (8.1) | 24 | 8 (33.3) | 9 (37.5) | 55 | 25 | 8 | ||
| VSP closure | 81 | 9 (11.1) | 13 (16.0) | 262 | 68 (26.0) | 102 (38.9) | 90 | 4 | 6 | ||
| Cardiac rupture | 29 | 7 (24.1) | 11 (37.9) | 238 | 78 (32.8) | 90 (37.8) | 36 | 2 | 5 | ||
| Mitral regurgitation | |||||||||||
| (1) Papillary muscle rupture | 74 | 4 (5.4) | 4 (5.4) | 52 | 14 (26.9) | 19 (36.5) | 20 | 10 | 56 | ||
| (2) Ischemic | 216 | 15 (6.9) | 25 (11.6) | 42 | 9 (21.4) | 11 (26.2) | 171 | 151 | 107 | ||
| Others | 78 | 7 (9.0) | 10 (12.8) | 101 | 22 (21.8) | 35 (34.7) | 72 | 9 | 7 | ||
| Total | 577 | 48 (8.3) | 71 (12.3) | 719 | 199 (27.7) | 266 (37.0) | 444 | 201 | 189 | ||
| ( ), % mortality | |||||||||||
| MI myocardial infarction; CABG coronary artery bypass grafting; MVP mitral valve repair; MVR mitral valve replacement; VSP ventricular septal perforation | |||||||||||
| Acute, within 2 weeks from the onset of myocardial infarction | |||||||||||
| (3) Operation for arrhythmia (total;6880 ) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Cases | 30-day mortality | Hospital mortality | Concomitant operation | ||||||||
| Isolated | Congenital | Valve | IHD | Others | Multiple combination | ||||||
| Hospital | After discharge | 2 categories | 3 categories | ||||||||
| Maze | 3,898 | 66 (1.7) | 1 (0.03) | 119 (3.1) | 157 | 169 | 3,345 | 636 | 364 | 699 | 61 |
| For WPW | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| For ventricular tachyarrhythmia | 32 | 2 (6.3) | 3 (9.4) | 5 | 3 | 12 | 18 | 1 | 8 | 1 | |
| Others | 2,950 | 57 (1.9) | 96 (3.3) | 85 | 129 | 2,500 | 525 | 285 | 533 | 48 | |
| Total | 6,880 | 125 (1.8) | 1 (0.01) | 218 (3.2) | 247 | 301 | 5,857 | 1179 | 650 | 1,240 | 110 |
| ( ), % mortality | |||||||||||
| WPW Wolff-Parkinson-White syndrome; IHD ischemic heart disease | |||||||||||
| Except for 247 isolated cases, all remaining 6633 cases are doubly allocated, one for this subgroup and the other for the subgroup corresponding to the concomitant operations | |||||||||||
| (4) Operation for constrictive pericarditis (total; 191) | ||||||||
|---|---|---|---|---|---|---|---|---|
| CPB (+) | CPB (-) | |||||||
| Cases | 30-day mortality | Hospital mortality | Cases | 30-day mortality | Hospital mortality | |||
| Hospital | After discharge | Hospital | After discharge | |||||
| Total | 95 | 4 (4.2) | 18 (18.9) | 96 | 1 (1.0) | 3 (3.1) | ||
| ( ), % mortality | ||||||||
| CPB cardiopulmonary bypass | ||||||||
| (5) Cardiac tumor (total; 704) | ||||||||
|---|---|---|---|---|---|---|---|---|
| Cases | 30-day mortality | Hospital mortality | Concomitant operation | |||||
| Hospital | After discharge | AVR | MVR | CABG | Others | |||
| Benign tumor | 640 | 3 (0.5) | 32 | 34 | 45 | 143 | ||
| (Cardiac myxoma) | 393 | 1 (0.3) | 13 | 3 | 24 | 72 | ||
| Malignant tumor | 64 | 2 (3.1) | 6 (9.4) | 2 | 4 | 4 | 11 | |
| (Primary) | 43 | 1 (2.3) | 3 (7.0) | 2 | 4 | 4 | 10 | |
| ( ), % mortality | ||||||||
| AVR aortic valve replacement; MVR mitral valve replacement; CABG coronary artery bypass grafting | ||||||||
| (6) HOCM and DCM (total; 278) | ||||||||
|---|---|---|---|---|---|---|---|---|
| Cases | 30-day mortality | Hospital mortality | Concomitant operation | |||||
| Hospital | After discharge | AVR | MVR | MVP | CABG | |||
| Myectomy | 130 | 5 (3.8) | 7 (5.4) | 56 | 26 | 21 | 21 | |
| Myotomy | 13 | 1 | 1 | 1 | 1 | |||
| No-resection | 128 | 10 (7.8) | 1 (0.8) | 1 (0.8) | 21 | 74 | 54 | 6 |
| Volume reduction surgery of the left ventricle | 7 | 1 (0.4) | 1 | 3 | 1 | 2 | ||
| Total | 278 | 15 (5.4) | 8 (2.9) | 79 | 104 | 77 | 30 | |
| ( ), % mortality | ||||||||
| HOCM hypertrophic obstructive cardiomyopathy; DCM dilated cardiomyopathy; AVR aortic valve replacement; MVR mitral valve replacement; MVP mitral valve repair; CABG coronary artery bypass grafting | ||||||||
| (7) Other open-heart operation (total; 1229) | ||||
|---|---|---|---|---|
| Cases | 30-day mortality | Hospital mortality | ||
| Hospital | After discharge | |||
| Open-heart operation | 523 | 52 (9.9) | 1 (0.2) | 75 (14.3) |
| Non-open-heart operation | 706 | 88 (12.5) | 120 (17.0) | |
| Total | 1229 | 140 (11.4) | 1 (0.1) | 195 (15.9) |
( ), % mortality