HEART, VASCULAR & THORACIC
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute
Adult Cardiac Surgery Valve Surgery Aorta Surgery
Adult Cardiac Surgery
Cleveland Clinic’s Overall Composite Quality Ratings in STS Adult Cardiac Surgery Database*
CABG
AVR
AVR + CABG
MVRR
MVRR + CABG
*For 7/1/17-6/30/20 for all categories but CABG, which is for 7/1/19-6/30/20.
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting;
AVR = aortic valve replacement; MVRR = mitral valve repair/replacement
Adult Cardiac Surgery
Adult Cardiac Surgery Mortality Declines Even as Volume and Case Complexity Increase
Over the past 14 years, mortality has trended downward even as case complexity increases, with 57% of patients in 2020 requiring operations more complex than those classified by the Society of Thoracic Surgeons.
SURGICAL AVR
operative mortality for isolated AVR in 2020
(N = 331) (vs. 1.3% STS predicted mortality)
operative mortality for AVR + CABG in 2020
(N = 150) (vs. 3.0% STS predicted mortality)
TRANSCATHETER AVR
procedural mortality in 2020 (N = 677)
(no predicted rate available)
Aortic Valve Replacement (AVR)
*Aorta surgery data are from STS Adult Cardiac Surgery Database and thus do not include vascular surgery cases.
STS = Society of Thoracic Surgeons;
CABG = coronary artery bypass grafting
ISOLATED MITRAL VALVE REPAIR
operative mortality among 2,960 cases from 2014 through 2020 (vs. 0.7% STS predicted mortality)
ISOLATED MITRAL VALVE REPLACEMENT
operative mortality in 2020 (N = 145)
(vs. 4.5% STS predicted mortality)
operative mortality in 2020 (N = 1,008)
(no predicted rate available)
operative mortality for elective cases in 2020
(N = 715) (no predicted rate available)
Mitral Valve Repair and Replacement
0.6%
0%
0.7%
0%
2.8%
Aorta Surgery*
1.9%
1.1%
For more data like this, visit clevelandclinic.org/hvtioutcomes and clevelandclinic.org/e15.
