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HEART, VASCULAR & THORACIC
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute
Vitals
and clevelandclinic.org/e15.
Adult Cardiac Surgery
Adult Cardiac Surgery Mortality Declines Even as Volume and Case Complexity Increase
Case complexity increased over this period, with 60% of patients in 2019 requiring operations more complex than those classified by the Society of Thoracic Surgeons.
Aortic Valve Replacement (AVR)
0%
for isolated AVR in latest 2-year period* (N = 737)
(vs. 1.3% STS predicted mortality)
*10/1/2017 - 9/30/2019 | **10/1/2018 - 9/30/2019 | STS = Society of Thoracic Surgeons; CAB = coronary artery bypass
SURGICAL AVR OPERATIVE MORTALITY
1.2%
for AVR + CAB in latest 12-month period** (N = 171)
(vs. 3.2% STS predicted mortality)
0%
in calendar year 2019 (N = 696)
(no predicted rate available)
TRANSCATHETER AVR PROCEDURAL MORTALITY
Mitral Valve Repair and Replacement
0%
operative mortality among 2,333 cases from 2014 through 9/30/2019
(vs. 0.6% STS predicted mortality)
ISOLATED MITRAL VALVE REPAIR
operative mortality in latest 12-month period** (N = 153)
(vs. 3.9% STS predicted mortality)
ISOLATED MITRAL VALVE REPLACEMENT
1.3%
Aorta Surgery*
operative mortality in latest 12-month period** (N = 1,111)
(no predicted rate available)
2.9%
operative mortality for elective cases in latest 12-month period**
(N = 890)
(no predicted rate available)
2.0%
*Aorta surgery data are from the Society of Thoracic Surgeons Adult Cardiac Surgery Database and thus do not include vascular surgery cases.
**10/1/2018 - 9/30/2019