Table 2.
(1) Valvelar heart disease (total; 17,661) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | Hospital | After discharge | ||||||||||
Isolated | A | 8206 | 879 | 7142 | 113 | 72 | 2020 | 118 (1.5) | 0 | 4 (0.05) | 1 (0.9) | 202 (2.5) | 2 (1.8) | 625 | 23 (3.7) | 0 | 33 (5.3) |
M | 4415 | 384 | 847 | 3155 | 29 | 557 | 63 (5.1) | 21 (0.7) | 0 | 2 (0.06) | 97 (7.9) | 39 (1.2) | 527 | 18 (3.3) | 1 (0.2) | 34 (6.5) | |
T | 221 | 7 | 44 | 167 | 3 | 37 | 0 | 7 (4.2) | 0 | 0 | 3 (5.9) | 11 (6.6) | 57 | 1 (1.8) | 0 | 3 (5.3) | |
P | 20 | 0 | 17 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | |
A + M | 971 | 152 | 42 (4.3) | 1 (0.1) | 74 (7.6) | 143 | 11 (7.7) | 0 | 17 (11.9) | ||||||||
A | 171 | 777 | 22 | 1 | |||||||||||||
M | 134 | 308 | 520 | 9 | |||||||||||||
A + T | 366 | 50 | 6 (1.6) | 0 | 16 (4.4) | 55 | 2 (3.6) | 0 | 4 (7.3) | ||||||||
A | 38 | 323 | 5 | 0 | |||||||||||||
T | 0 | 0 | 358 | 8 | |||||||||||||
M + T | 2663 | 274 | 44 (1.7) | 1 (0.04) | 81 (3.0) | 317 | 7 (2.2) | 0 | 13 (4.1) | ||||||||
M | 255 | 750 | 1631 | 27 | |||||||||||||
T | 6 | 17 | 2622 | 18 | |||||||||||||
A + M + T | 738 | 89 | 29 (3.9) | 0 | 49 (6.6) | 99 | 5 (5.1) | 0 | 6 (6.1) | ||||||||
A | 100 | 624 | 12 | 2 | |||||||||||||
M | 96 | 278 | 356 | 8 | |||||||||||||
T | 3 | 6 | 728 | 1 | |||||||||||||
others | 61 | 3 | 1 (1.6) | 0 | 3 (4.9) | 23 | 1 (4.3) | 0 | 1 (4.3) | ||||||||
Total | 17,661 | 3183 | 303 (1.7) | 6 (0.03) | 525 (3.0) | 1862 | 68 (3.7) | 1 (0.05) | 111 (6.0) |
Cases | 30-day mortality | |
---|---|---|
TAVR | 12,202 | 140 (1.1) |
(2) Ischemic heart disease (total, (A) + (B); 11,364) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(A) Isolated CABG (total; (a) + (b); 10,184) | |||||||||||||||||||||
(a-1) On-pump arrest CABG (total; 2374) | |||||||||||||||||||||
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 | 46 | 0 (0.0) | 0 | 0 (0.0) | 11 | 3 (27.3) | 0 | 3 (27.3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16 | 24 | 15 | 2 | 0 |
2VD | 296 | 1 (0.3) | 0 | 4 (1.4) | 27 | 3 (11.1) | 0 | 3 (11.1) | 0 | 0 | 0 | 0 | 1 | 0 (0.0) | 0 | 0 (0.0) | 38 | 263 | 22 | 1 | 0 |
3VD | 877 | 12 (1.4) | 0 | 17 (1.9) | 111 | 8 (7.2) | 0 | 10 (9.0) | 3 | 0 (0.0) | 0 | 0 (0.0) | 0 | 0 | 0 | 0 | 45 | 916 | 22 | 8 | 0 |
LMT | 796 | 8 (1.0) | 0 | 11 (1.4) | 168 | 6 (3.6) | 0 | 13 (7.7) | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 69 | 851 | 43 | 6 | 1 |
No info | 21 | 1 | 0 | 1 (4.8) | 8 | 1 (12.5) | 0 | 4 (50.0) | 1 | 0 (0.0) | 0 | 1 (100.0) | 2 | 1 (50.0) | 0 | 1 (50.0) | 3 | 15 | 11 | 1 | 2 |
Total | 2036 | 22 (1.1) | 0 | 33 (1.6) | 325 | 21 (6.5) | 0 | 33 (10.2) | 10 | 0 (0.0) | 0 | 1 (10.0) | 3 | 1 (33.3) | 0 | 1 (33.3) | 171 | 2069 | 113 | 18 | 3 |
Kawasaki | 4 | 1 (25.0) | 0 | 0 (0.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 0 |
on dialysis | 250 | 10 (4.0) | 0 | 14 (5.6) | 36 | 4 | 0 | 6 (16.7) | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 20 | 252 | 16 | 1 | 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; 2003) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 38 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 11 | 1 (9.1) | 0 | 2 (18.2) | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 23 | 17 | 10 | 0 | 0 |
2VD | 206 | 1 (0.5) | 2 (1.0) | 3 (1.5) | 38 | 1 (2.6) | 0 | 3 (7.9) | 5 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 52 | 174 | 22 | 2 | 0 |
3VD | 662 | 11 (1.7) | 0 (0.0) | 18 (2.7) | 110 | 13 (11.8) | 0 | 19 (17.3) | 4 | 0 | 0 | 0 (0.0) | 3 | 1 (33.3) | 0 | 1 (33.3) | 81 | 668 | 28 | 2 | 0 |
LMT | 643 | 17 (2.6) | 1 (0.2) | 27 (4.2) | 228 | 19 (8.3) | 0 | 26 (11.4) | 11 | 1 (9.1) | 0 | 2 (18.2) | 3 | 0 | 0 | 1 (33.3) | 116 | 731 | 32 | 5 | 1 |
no info | 27 | 0 (0.0) | 0 (0.0) | 1 (3.7) | 9 | 1 (11.1) | 0 | 1 (11.1) | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 1 (33.3) | 14 | 18 | 7 | 0 | 0 |
Total | 1576 | 29 (1.8) | 3 (0.2) | 49 (3.1) | 396 | 35 (8.8) | 0 (0.0) | 51 (12.9) | 20 | 1 (5.0) | 0 | 2 (10.0) | 11 | 1 (9.1) | 0 | 3 (27.3) | 286 | 1608 | 99 | 9 | 1 |
Kawasaki | 2 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 2 | 1 | 0 | 0 |
on dialysis | 255 | 11 (4.3) | 1 | 21 (8.2) | 59 | 9 (15.3) | 0 (0.0) | 11 (18.6) | 6 | 1 (16.7) | 0 | 2 (33.3) | 1 | 1 (100.0) | 0 | 1 (100.0) | 23 | 278 | 19 | 1 | 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; 5807) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(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 | 307 | 0 (0.0) | 0 | 5 (1.6) | 36 | 3 (8.3) | 0 | 6 (16.7) | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 244 | 72 | 32 | 0 | 2 |
2VD | 786 | 6 (0.8) | 0 | 9 (1.1) | 63 | 1 (1.6) | 0 | 4 (6.3) | 8 | 0 | 0 | 1 (12.5) | 0 | 0 | 0 | 0 | 299 | 533 | 20 | 4 | 1 |
3VD | 2093 | 21 (1.0) | 1 (0.0) | 35 (1.7) | 186 | 5 (2.7) | 0 | 11 (5.9) | 14 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 462 | 1780 | 36 | 15 | 1 |
LMT | 1873 | 14 (0.7) | 1 (0.1) | 26 (1.4) | 331 | 10 (3.0) | 1 (0.3) | 18 (5.4) | 13 | 0 | 0 | 1 (7.7) | 2 | 0 | 0 | 0 | 603 | 1562 | 44 | 10 | 0 |
no info | 67 | 1 (1.5) | 0 (0.0) | 1 (1.5) | 15 | 1 | 0 | 1 (6.7) | 4 | 0 | 0 | 0 | 1 | 1 (100.0) | 0 | 1 (100.0) | 34 | 45 | 7 | 1 | 0 |
Total | 5126 | 42 (0.8) | 2 (0.0) | 76 (1.5) | 631 | 20 (3.2) | 1 (0.2) | 40 (6.3) | 46 | 0 | 0 | 2 (4.3) | 4 | 1 (25.0) | 0 | 1 (25.0) | 1642 | 3992 | 139 | 30 | 4 |
Kawasaki | 15 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 9 | 0 | 0 | 1 |
On dialysis | 566 | 12 (2.1) | 1 (0.2) | 26 (4.6) | 55 | 6 (10.9) | 0 | 10 (18.2) | 13 | 0 | 0 | 2 (15.4) | 1 | 0 | 0 | 0 | 154 | 458 | 18 | 5 | 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 | 2 (8.3) | 8 | 0 (0.0) | 0 | 1 (12.5) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Converted to beating | 107 | 5 (4.7) | 0 | 6 (5.6) | 17 | 3 (17.6) | 0 | 6 (35.3) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Total | 131 | 7 (5.3) | 0 | 8 (6.1) | 25 | 3 (12.0) | 0 | 7 (28.0) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
On dialysis | 28 | 5 (17.9) | 0 | 5 (17.9) | 3 | 1 (33.3) | 0 | 1 (33.3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
(), % mortality | ||||||||||||||||
CABG coronary artery bypass grafting |
(B) Operation for complications of MI (total; 1180) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 | 90 | 6 (6.7) | 0 | 8 (8.9) | 36 | 10 (27.8) | 1 (2.8) | 15 (41.7) | 56 | 14 | 6 |
VSP closure | 86 | 12 (14.0) | 0 | 21 (24.4) | 244 | 60 (24.6) | 0 | 77 (31.6) | 85 | 9 | 0 |
Cardiac rupture | 50 | 7 (14.0) | 0 | 10 (20.0) | 231 | 64 (27.7) | 0 | 78 (33.8) | 38 | 3 | 4 |
Mitral regurgitation | |||||||||||
(1) Papillary muscle rupture | 23 | 2 (8.7) | 0 | 2 (8.7) | 70 | 14 (20.0) | 0 | 20 (28.6) | 35 | 15 | 78 |
(2) Ischemic | 142 | 9 (6.3) | 0 | 11 (7.7) | 39 | 6 (15.4) | 0 | 9 (23.1) | 134 | 111 | 70 |
Others | 90 | 1 (1.1) | 0 | 2 (2.2) | 79 | 20 (25.3) | 0 | 25 (31.6) | 59 | 10 | 4 |
Total | 481 | 37 (7.7) | 0 | 54 (11.2) | 699 | 174 (24.9) | 1 (0.1) | 224 (32.0) | 407 | 162 | 162 |
(), % 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; 6720) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases | 30-day mortality | Hospital mortality | Concomitant operation | ||||||||
Isolated | Congenital | Valve | IHD | Others | Multiple combination | ||||||
Hospital | After discharge | 2 categories | 3 categories | ||||||||
Maze | 3442 | 53 (1.5) | 0 | 98 (2.8) | 155 | 172 | 2918 | 572 | 319 | 660 | 36 |
For WPW | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 |
For ventricular tachyarrhythmia | 23 | 0 | 0 | 1 (4.3) | 1 | 1 | 4 | 10 | 5 | 3 | 0 |
Others | 3254 | 74 (2.3) | 2 (0.06) | 127 (3.9) | 80 | 153 | 2680 | 635 | 382 | 654 | 38 |
Total | 6720 | 127 (1.9) | 2 (0.03) | 226 (3.4) | 236 | 326 | 5603 | 1218 | 706 | 1318 | 74 |
(), % 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; 190) | ||||||||
---|---|---|---|---|---|---|---|---|
CPB ( +) | CPB ( −) | |||||||
Cases | 30-day mortality | Hospital mortality | Cases | 30-day mortality | Hospital mortality | |||
Hospital | After discharge | Hospital | After discharge | |||||
Total | 102 | 6 (5.9) | 0 | 12 (11.8) | 88 | 4 (4.5) | 2 (2.3) | 7 (8.0) |
(), % mortality | ||||||||
CPB cardiopulmonary bypass |
(5) Cardiac tumor (total; 618) | ||||||||
---|---|---|---|---|---|---|---|---|
Cases | 30-day mortality | Hospital mortality | Concomitant operation | |||||
Hospital | After discharge | AVR | MVR | CABG | Others | |||
Benign tumor | 550 | 6 (1.1) | 0 | 8 (1.5) | 24 | 15 | 40 | 120 |
(Cardiac myxoma) | 392 | 2 (0.5) | 0 | 3 (0.8) | 7 | 3 | 22 | 73 |
Malignant tumor | 68 | 8 (11.8) | 0 | 8 (11.8) | 0 | 2 | 7 | 13 |
(Primary) | 38 | 3 (7.9) | 0 | 3 (7.9) | 0 | 1 | 4 | 8 |
(), % mortality | ||||||||
AVR aortic valve replacement; MVR mitral valve replacement; CABG coronary artery bypass grafting |
(6) HOCM and DCM (total; 226) | ||||||||
---|---|---|---|---|---|---|---|---|
Cases | 30-day mortality | Hospital mortality | Concomitant operation | |||||
Hospital | After discharge | AVR | MVR | MVP | CABG | |||
Myectomy | 116 | 4 (3.4) | 0 | 5 (4.3) | 41 | 16 | 14 | 6 |
Myotomy | 4 | 0 | 0 | 0 | 1 | 1 | 0 | 0 |
No-resection | 100 | 7 (7.0) | 0 | 13 (13.0) | 20 | 51 | 49 | 4 |
Volume reduction surgery of the left ventricle | 6 | 0 | 0 | 1 (16.7) | 1 | 0 | 4 | 1 |
Total | 226 | 11 (4.9) | 0 | 19 (8.4) | 63 | 68 | 67 | 11 |
(), % 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; 1184) | ||||
---|---|---|---|---|
Cases | 30-day mortality | Hospital mortality | ||
Hospital | After discharge | |||
Open-heart operation | 491 | 57 (11.6) | 0 | 82 (16.7) |
Non-open-heart operation | 693 | 81 (11.7) | 0 | 115 (16.6) |
Total | 1184 | 138 (11.7) | 0 | 197 (16.6) |
(), % mortality |