Table 2.
Ten Most Common Primary Procedures of Index Operations with One or More Previous Sternotomy
| Procedure | No. Eligible | No. with Mortality Status at Discharge = Dead | Discharge Mortality(%) | Postop LOS (days)
|
|||
|---|---|---|---|---|---|---|---|
| Median | 25th | 75th | Mean | ||||
| All Patients | |||||||
| BDCPA (bidirectional Glenn) | 2480 | 33 | 1.33 | 6 | 4 | 9 | 10.74 |
| PVR | 1970 | 8 | 0.41 | 4 | 3 | 5 | 5.24 |
| Fontan, TCPC, External conduit, Fenestrated | 1870 | 24 | 1.82 | 9 | 7 | 15 | 14.23 |
| Conduit reoperation | 1732 | 14 | 0.81 | 5 | 4 | 7 | 7.26 |
| Pacemaker procedure | 1642 | 5 | 0.30 | 1 | 0 | 2 | 2.77 |
| Fontan, TCPC, External conduit, Nonfenestrated | 1403 | 22 | 1.57 | 9 | 7 | 14 | 13.29 |
| Pacemaker implantation, Permanent | 927 | 13 | 1.40 | 3 | 1 | 4 | 4.73 |
| Fontan, TCPC, Lateral tunnel, Fenestrated | 895 | 6 | 0.67 | 9 | 7 | 13 | 12.38 |
| Superior Cavopulmonary anastomosis(es) + PA reconstruction | 856 | 20 | 2.34 | 7 | 5 | 13 | 14.46 |
| Valvuloplasty, Mitral | 826 | 16 | 1.94 | 5 | 4 | 9 | 11.18 |
| Neonates (0 to 30 days) | |||||||
| ASO | 48 | 1 | 2.08 | 12 | 8 | 21 | 21.5 |
| MBTS | 38 | 5 | 13.16 | 15 | 8 | 30 | 22.7 |
| Norwood procedure | 37 | 8 | 21.62 | 35 | 15 | 58 | 43.7 |
| TAPVC repair | 18 | 10 | 55.56 | 28.5 | 12 | 45 | 35.1 |
| ASO and VSD repair | 18 | 0 | 0.00 | 12 | 9 | 27 | 24 |
| Aortic arch repair | 11 | 2 | 18.18 | 20 | 14 | 63 | 54.9 |
| PAB | 11 | 4 | 36.36 | 29 | 14 | 51 | 36.3 |
| Coarctation repair, end-to-end, Extended | 8 | 0 | 0.00 | 26 | 7 | 50.5 | 32.4 |
| PDA closure, Surgical | 8 | 2 | 25.00 | 12.5 | 10 | 36.5 | 26 |
| Coarctation repair, end-to-end | 7 | 1 | 14.29 | 18 | 4 | 43 | 24 |
| Infants (31 days to 1 year) | |||||||
| BDCPA (bidirectional Glenn) | 2271 | 29 | 1.28 | 6 | 5 | 10 | 10.9 |
| Superior cavopulmonary anastomosis(es) + PA reconstruction | 807 | 19 | 2.35 | 7 | 5 | 13 | 14.7 |
| Bilateral BDCPA (bilateral bidirectional Glenn) | 314 | 7 | 2.23 | 7 | 5 | 12 | 13.9 |
| HemiFontan | 311 | 8 | 2.57 | 7 | 5 | 13 | 13.4 |
| TOF repair, Ventriculotomy, Transanular patch | 266 | 2 | 0.75 | 7 | 5 | 12 | 11.7 |
| VSD repair, Patch | 204 | 3 | 1.47 | 7 | 5 | 14 | 14.5 |
| PA, reconstruction (plasty), Branch, Central (within the hilar bifurcation) | 201 | 13 | 6.47 | 8 | 5 | 24 | 20.7 |
| Aortic arch repair | 198 | 9 | 4.55 | 10 | 6 | 22 | 21.2 |
| AVC (AVSD) repair, Complete (CAVSD) | 185 | 8 | 4.32 | 11 | 7 | 22 | 21.0 |
| Pulmonary venous stenosis repair | 185 | 22 | 11.89 | 12 | 7 | 25 | 20.8 |
| Children (>1 year to 18 years) | |||||||
| Fontan, TCPC, External conduit, Fenestrated | 1852 | 29 | 1.57 | 9 | 7 | 15 | 14.3 |
| Conduit reoperation | 1435 | 10 | 0.70 | 5 | 4 | 6 | 6.5 |
| Fontan, TCPC, External conduit, Nonfenestrated | 1375 | 20 | 1.45 | 9 | 7 | 14 | 13.3 |
| PVR | 1186 | 6 | 0.51 | 4 | 3 | 5 | 4.9 |
| Pacemaker procedure | 1173 | 2 | 0.17 | 1 | 0 | 2 | 2.7 |
| Fontan, TCPC, Lateral tunnel, Fenestrated | 887 | 6 | 0.68 | 9 | 7 | 13 | 12.3 |
| Pacemaker implantation, Permanent | 690 | 4 | 0.58 | 2 | 1 | 4 | 3.8 |
| Aortic stenosis, Subvalvar, Repair | 678 | 2 | 0.29 | 4 | 3 | 5 | 4.9 |
| Valvuloplasty, Mitral | 635 | 6 | 0.94 | 5 | 4 | 7 | 8.2 |
| Conduit placement, RV to PA | 527 | 4 | 0.76 | 5 | 4 | 6 | 6.6 |
| Adults (>18 years) | |||||||
| PVR | 764 | 2 | 0.26 | 5 | 4 | 6 | 5.4 |
| Pacemaker procedure | 427 | 1 | 0.23 | 1 | 0 | 1 | 1.6 |
| Conduit reoperation | 185 | 3 | 1.62 | 5 | 4 | 6 | 6 |
| Arrhythmia surgery - atrial, Surgical Ablation | 176 | 6 | 3.41 | 7 | 6 | 11 | 10.8 |
| Fontan revision or conversion (Re-do Fontan) | 149 | 15 | 10.07 | 9 | 7 | 13 | 12.2 |
| Pacemaker implantation, Permanent | 148 | 3 | 2.03 | 3 | 1 | 4 | 4.2 |
| Conduit placement, RV to PA | 121 | 4 | 3.31 | 5 | 4 | 6 | 6.3 |
| Aortic aneurysm repair | 97 | 3 | 3.09 | 7 | 5 | 9 | 9.7 |
| ICD (AICD) implantation | 94 | 1 | 1.06 | 1 | 1 | 4 | 3.0 |
| PA, reconstruction (plasty), Branch, Central (within the hilar bifurcation) | 91 | 1 | 1.10 | 5 | 4 | 6 | 6.0 |
Abbreviations: BDCPA, bidirectional cavopulmonary anastomosis; PVR, valve replacement, pulmonic; TCPC, total cavopulmonary connection; ASO, arterial switch operation; MBTS, modified Blalock-Taussig shunt; TAPVC, total anomalous pulmonary venous connection; VSD, ventricular septal defect; PAB, PA banding; PDA, patent ductus arteriosus; AVSD, atrioventricular septal defect; CAVSD, complete atrioventricular septal defect; ICD, implantable cardioverter defibrillator; AICD, automatic implantable cardioverter defibrillator.