Table 2.
(1) Valvelar heart disease (total; 18,366) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 8592 | 949 | 7465 | 125 | 53 | 2115 | 146 (1.7) | 2 (1.6) | 2 (0.02) | 0 | 268 (3.2) | 3 (2.4) | 629 | 30 (4.8) | 0 | 46 (7.3) |
M | 4471 | 414 | 849 | 3177 | 31 | 607 | 50 (4.0) | 17 (0.5) | 1 (0.08) | 1 (0.03) | 97 (7.7) | 36 (1.1) | 622 | 15 (2.4) | 0 | 39 (6.3) | |
T | 226 | 5 | 63 | 157 | 1 | 30 | 3 (4.4) | 5 (3.2) | 0 | 0 | 5 (7.4) | 8 (5.1) | 64 | 1 (1.6) | 0 | 4 (6.3) | |
P | 11 | 0 | 11 | 0 | 0 | 1 | 0 | 2 (40) | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | |
A + M | 1064 | 189 | 45 (4.2) | 1 (0.09) | 80 (7.5) | 158 | 9 (5.7) | 0 | 17 (10.8) | ||||||||
A | 202 | 827 | 31 | 4 | |||||||||||||
M | 140 | 381 | 538 | 5 | |||||||||||||
A + T | 381 | 68 | 16 (4.2) | 1 (0.3) | 25 (6.6) | 58 | 2 (3.4) | 0 | 3 (5.2) | ||||||||
A | 48 | 331 | 2 | 0 | |||||||||||||
T | 0 | 0 | 371 | 10 | |||||||||||||
M + T | 2818 | 292 | 48 (1.7) | 1 (0.04) | 92 (3.3) | 358 | 9 (2.5) | 1 (0.3) | 19 (5.3) | ||||||||
M | 260 | 811 | 1734 | 13 | |||||||||||||
T | 8 | 24 | 2762 | 24 | |||||||||||||
A + M + T | 756 | 104 | 25 (3.3) | 0 | 50 (6.6) | 104 | 4 (3.8) | 1 (1.0) | 9 (8.7) | ||||||||
A | 84 | 655 | 15 | 2 | |||||||||||||
M | 57 | 335 | 354 | 10 | |||||||||||||
T | 0 | 10 | 743 | 3 | |||||||||||||
Others | 47 | 4 | 1 (2.1) | 0 | 1 (2.1) | 19 | 1 (5.3) | 0 | 1 (5.3) | ||||||||
Total | 18,366 | 3410 | 358 (1.9) | 7 (0.04) | 665 (3.6) | 2022 | 71 (3.5) | 2 (0.1) | 138 (6.8) |
Cases | 30-Day mortality | ||
---|---|---|---|
TAVR | 9774 | 99 | (1.0) |
(2) Ischemic heart disease (total, (A) + (B); 11,524) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(A) Isolated CABG (total; (a) + (b); 10,311) | |||||||||||||||||||||
(a-1) On-pump arrest CABG (total; 2263) | |||||||||||||||||||||
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 | 36 | 1 (2.8) | 0 | 1 (2.8) | 12 | 2 (16.7) | 0 | 2 (16.7) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20 | 14 | 15 | 0 | 0 |
2VD | 257 | 4 (1.6) | 0 | 7 (2.7) | 39 | 3 (7.7) | 0 | 6 (15.4) | 3 | 0 | 0 | 0 | 1 | 1 (100.0) | 0 | 1 (100.0) | 34 | 235 | 30 | 1 | 0 |
3VD | 847 | 8 (0.9) | 0 | 14 (1.7) | 80 | 2 (2.5) | 0 | 6 (7.5) | 3 | 1 (33.3) | 0 | 1 (33.3) | 1 | 0 | 0 | 0 | 30 | 869 | 28 | 4 | 0 |
LMT | 792 | 15 (1.9) | 0 | 21 (2.7) | 152 | 11 (7.2) | 0 | 17 (11.2) | 3 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 83 | 822 | 38 | 6 | 0 |
No info | 24 | 0 | 0 | 1 (4.2) | 8 | 1 (12.5) | 0 | 1 (12.5) | 1 | 1 (100.0) | 0 | 1 (100.0) | 1 | 1 (100.0) | 0 | 1 (100.0) | 3 | 23 | 7 | 0 | 1 |
Total | 1956 | 28 (1.4) | 0 | 44 (2.2) | 291 | 19 (6.5) | 0 | 32 (11.0) | 11 | 2 (18.2) | 0 | 2 (18.2) | 5 | 2 (40.0) | 0 | 2 (40.0) | 170 | 1963 | 118 | 11 | 1 |
Kawasaki | 4 | 1 (25.0) | 0 | 1 (25.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 0 |
on dialysis | 249 | 12 (4.8) | 0 | 15 (6.0) | 37 | 0 | 0 | 4 (10.8) | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19 | 252 | 18 | 0 | 0 |
(), % mortality | |||||||||||||||||||||
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 | |||||||||||||||||||||
LMT includes LMT alone or LMT with other branch diseases |
(a-2) On-pump beating CABG (total; 2034) | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 30 | 1 (3.3) | 0 | 0 | 1 (3.3) | 9 | 1 (11.1) | 0 | 2 (22.2) | 2 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 18 | 14 | 10 | 0 | 0 |
2VD | 211 | 3 (1.4) | 0 | 0 | 5 (2.4) | 36 | 4 (11.1) | 0 | 6 (16.7) | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 56 | 172 | 18 | 3 | 0 |
3VD | 679 | 13 (1.9) | 0 | 0 | 20 (2.9) | 133 | 14 (10.5) | 0 | 21 (15.8) | 9 | 0 | 0 | 1 (11.1) | 1 | 0 | 0 | 0 | 93 | 697 | 26 | 6 | 0 |
LMT | 664 | 14 (2.1) | 1 | 0.150602 | 21 (3.2) | 212 | 15 (7.1) | 0 | 23 (10.8) | 11 | 1 (9.1) | 0 | 2 (18.2) | 4 | 2 (50.0) | 0 | 3 (75.0) | 154 | 701 | 34 | 2 | 0 |
No info | 21 | 0 (0.0) | 0 | 0 | 0 (0.0) | 6 | 3 (50.0) | 0 | 3 (50.0) | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 1 (33.3) | 9 | 11 | 8 | 2 | 0 |
Total | 1605 | 31 (1.9) | 1 | 0.062305 | 47 (2.9) | 396 | 37 (9.3) | 0 (0.0) | 55 (13.9) | 24 | 1 (4.2) | 0 | 3 (12.5) | 9 | 2 (22.2) | 0 | 4 (44.4) | 330 | 1595 | 96 | 13 | 0 |
Kawasaki | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 5 | 0 | 0 | 0 | |
on dialysis | 246 | 18 (7.3) | 0 | 25 (10.2) | 54 | 14 (25.9) | 0 (0.0) | 21 (38.9) | 5 | 0 (0.0) | 0 | 2 (40.0) | 4 | 2 (50.0) | 0 | 3 (75.0) | 33 | 249 | 24 | 3 | 0 | |
(), % mortality | ||||||||||||||||||||||
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 | ||||||||||||||||||||||
LMT includes LMT alone or LMT with other branch diseases |
(b) Off-pump CABG (total; 6014) | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(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 | 340 | 0 (0.0) | 0 | 1 (0.3) | 28 | 3 (10.7) | 0 | 3 (10.7) | 5 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 256 | 76 | 41 | 0 | 1 | |
2VD | 836 | 2 (0.2) | 0 | 9 (1.1) | 63 | 1 (1.6) | 0 | 3 (4.8) | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 301 | 579 | 21 | 3 | 1 | |
3VD | 2151 | 18 (0.8) | 3 (0.1) | 29 (1.3) | 182 | 5 (2.7) | 0 | 7 (3.8) | 8 | 0 | 0 | 0 (0.0) | 7 | 1 (14.3) | 0 | 1 (14.3) | 438 | 1857 | 32 | 21 | 0 | |
LMT | 1966 | 13 (0.7) | 2 (0.1) | 24 (1.2) | 328 | 11 (3.4) | 1 | 0.304878 | 18 (5.5) | 15 | 0 | 0 | 0 | 3 | 0 (0.0) | 0 | 0 (0.0) | 615 | 1641 | 43 | 11 | 2 |
No info | 50 | 0 (0.0) | 0 (0.0) | 1 (2.0) | 19 | 0 | 0 | 3 (15.8) | 4 | 0 | 0 | 0 | 2 | 2 (100.0) | 0 | 2 (100.0) | 26 | 41 | 8 | 0 | 0 | |
Total | 5343 | 33 (0.6) | 5 (0.1) | 64 (1.2) | 620 | 20 (3.2) | 1 | 0.16129 | 34 (5.5) | 38 | 0 | 0 | 0 (0.0) | 13 | 3 (23.1) | 0 | 3 (23.1) | 1636 | 4194 | 145 | 35 | 4 |
Kawasaki | 11 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 7 | 0 | 0 | 0 | |
on dialysis | 584 | 4 (0.7) | 1 (0.2) | 12 (2.1) | 56 | 2 (3.6) | 0 | 4 (7.1) | 6 | 0 | 0 | 0 (0.0) | 2 | 0 (0.0) | 0 | 0 (0.0) | 139 | 482 | 25 | 2 | 0 | |
(), % mortality | ||||||||||||||||||||||
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 | ||||||||||||||||||||||
LMT includes LMT alone or LMT with other branch diseases |
(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 | Hospital mortality | |||||
Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | |||||||||
Converted to arrest | 24 | 2 (8.3) | 0 | 3 (12.5) | 5 | 2 (40.0) | 0 | 2 (40.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Converted to beating | 97 | 6 (6.2) | 0 | 10 (10.3) | 30 | 4 (13.3) | 0 | 5 (16.7) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Total | 121 | 8 (6.6) | 0 | 13 (10.7) | 35 | 6 (17.1) | 0 | 7 (20.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
On dialysis | 36 | 4 (11.1) | 0 | 7 (19.4) | 5 | 1 (20.0) | 0 | 2 (40.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
(), % mortality | ||||||||||||||||
CABG coronary artery bypass grafting |
(B) Operation for complications of MI (total; 1213) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Chronic | Acute | Concomitant operation | |||||||||
Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | ||||||
Hospital | After discharge | Hospital | After discharge | CABG | MVP | MVR | |||||
Infarctectomy or aneurysmectomy | 119 | 8 (6.7) | 0 | 10 (8.4) | 26 | 4 (15.4) | 0 | 7 (26.9) | 80 | 31 | 2 |
VSP closure | 85 | 9 (10.6) | 0 | 13 (15.3) | 250 | 67 (26.8) | 0 | 87 (34.8) | 92 | 0 | 8 |
Cardiac rupture | 37 | 12 (32.4) | 0 | 12 (32.4) | 247 | 63 (25.5) | 0 | 80 (32.4) | 46 | 3 | 9 |
Mitral regurgitation | |||||||||||
(1) Papillary muscle rupture | 9 | 0 | 0 | 0 | 51 | 10 (19.6) | 0 | 16 (31.4) | 26 | 4 | 56 |
(2) Ischemic | 204 | 12 (5.9) | 0 | 24 (11.8) | 39 | 8 (20.5) | 0 | 12 (30.8) | 191 | 138 | 105 |
Others | 69 | 1 (1.4) | 0 | 4 (5.8) | 77 | 25 (32.5) | 0 | 27 (35.1) | 51 | 8 | 5 |
Total | 523 | 42 (8.0) | 0 | 63 (12.0) | 690 | 177 (25.7) | 0 | 229 (33.2) | 486 | 184 | 185 |
(), % 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; 6831) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases | 30-Day mortality | Hospital mortality | Concomitant operation | ||||||||
Isolated | Congenital | Valve | IHD | Others | Multiple combination | ||||||
Hospital | After discharge | 2 categories | 3 categories | ||||||||
Maze | 3680 | 55 (1.5) | 1 (0.03) | 104 (2.8) | 204 | 158 | 3126 | 631 | 344 | 728 | 45 |
For WPW | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
For ventricular tachyarrhythmia | 23 | 1 (4.3) | 0 | 1 (4.3) | 5 | 0 | 10 | 10 | 1 | 0 | 0 |
Others | 3128 | 60 (1.9) | 1 (0.03) | 117 (3.7) | 68 | 139 | 2625 | 575 | 378 | 626 | 42 |
Total | 6831 | 116 (1.7) | 2 (0.03) | 222 (3.2) | 277 | 297 | 5761 | 1216 | 723 | 1354 | 87 |
(), % mortality | |||||||||||
WPW Wolff–Parkinson–White syndrome, IHD ischemic heart disease | |||||||||||
Except for 170 isolated cases, all remaining 5164 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; 210) | ||||||||
---|---|---|---|---|---|---|---|---|
CPB (+) | CPB (−) | |||||||
Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | |||
Hospital | After discharge | Hospital | After discharge | |||||
Total | 119 | 7 (5.9) | 0 | 18 (15.1) | 91 | 3 (3.3) | 1 (1.1) | 7 (7.7) |
(), % mortality | ||||||||
CPB cardiopulmonary bypass |
(5) Cardiac tumor (total; 628) | ||||||||
---|---|---|---|---|---|---|---|---|
Cases | 30-Day mortality | Hospital mortality | Concomitant operation | |||||
Hospital | After discharge | AVR | MVR | CABG | Others | |||
Benign tumor | 537 | 4 (0.7) | 0 | 4 (0.7) | 30 | 23 | 60 | 116 |
(Cardiac myxoma) | 353 | 0 | 0 | 0 | 9 | 7 | 33 | 67 |
Malignant tumor | 91 | 6 (6.6) | 1 (1.1) | 9 (9.9) | 3 | 3 | 1 | 9 |
(Primary) | 48 | 3 (6.3) | 0 | 4 (8.3) | 1 | 3 | 1 | 5 |
(), % mortality | ||||||||
AVR aortic valve replacement, MVR mitral valve replacement, CABG coronary artery bypass grafting |
(6) HOCM and DCM (total; 264) | ||||||||
---|---|---|---|---|---|---|---|---|
Cases | 30-Day mortality | Hospital mortality | Concomitant operation | |||||
Hospital | After discharge | AVR | MVR | MVP | CABG | |||
Myectomy | 118 | 3 (2.5) | 0 | 5 (4.2) | 41 | 17 | 24 | 10 |
Myotomy | 5 | 0 | 0 | 1 (20.0) | 1 | 1 | 1 | 0 |
No-resection | 133 | 7 (5.3) | 0 | 10 (7.5) | 27 | 60 | 73 | 14 |
Volume reduction surgery of the left ventricle | 8 | 0 | 0 | 0 | 0 | 1 | 2 | 2 |
Total | 264 | 10 (3.8) | 0 | 16 (6.1) | 69 | 79 | 100 | 26 |
(), % 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; 1240) | ||||
---|---|---|---|---|
Cases | 30-Day mortality | Hospital mortality | ||
Hospital | After discharge | |||
Open-heart operation | 511 | 56 (11.0) | 0 | 83 (16.2) |
Non-open-heart operation | 729 | 81 (11.1) | 0 | 114 (15.6) |
Total | 1240 | 137 (11.0) | 0 | 197 (15.9) |
(), % mortality