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Outcome Updates in Adult Cardiac Surgery, Ischemic Heart Disease and Vascular Disease

A scannable snapshot of recent volumes and results

Below we share recent volumes and clinical outcomes from a sampling of disciplines and subspecialty areas in Cleveland Clinic’s Heart, Vascular & Thoracic Institute: adult cardiac surgery, ischemic heart disease and vascular disease.

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ADULT CARDIAC SURGERY

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STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement; ACC = American College of Cardiology; TVT = Transcatheter Valve Therapy; TAVR = transcatheter aortic valve replacement

Operative Mortality, First Half of 2026
(1/1/2026-6/30/2026)

Procedure/Volume
Isolated CABG (N = 537)
Cleveland Clinic Observed
0.7%
STS Expected
1.8%
Isolated AVR (N = 172)
Cleveland Clinic Observed
0.6%
STS Expected
1.6%
AVR + CABG (N = 89)
Cleveland Clinic Observed
1.1%
STS Expected
3.3%
Isolated MVR (N = 72)
Cleveland Clinic Observed
2.8%
STS Expected
5.4%
MVR + CABG (N = 25)
Cleveland Clinic Observed
4.0%
STS Expected
13.4%
Isolated MV repair (N = 242)
Cleveland Clinic Observed
0.4%
STS Expected
0.7%
MV repair + CABG (N = 59)
Cleveland Clinic Observed
1.7%
STS Expected
5.7%

STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVR = mitral valve replacement; MV = mitral valve

ISCHEMIC HEART DISEASE

SURGICAL TREATMENT

1,968

CABG volume in 2025, consisting of:

  • 969 isolated CABG
  • 999 CABG + other
  • 150 (7.6%) reoperations

Operative Mortality, Isolated CABG

Year
2025 (N = 969)
Cleveland Clinic Observed
0.8%
STS Expected*
1.6%
2024 (N = 994)
Cleveland Clinic Observed
0.8%
STS Expected*
1.2%
2023 (N = 989)
Cleveland Clinic Observed
0.6%
STS Expected*
1.3%
2022 (N = 1,002)
Cleveland Clinic Observed
0.4%
STS Expected*
1.3%

*Source: Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database.

Operative Mortality, CABG + Other

Year
2025 (N = 999)
Cleveland Clinic Observed*
4.0%
2024 (N = 1,021)
Cleveland Clinic Observed*
2.9%
2023 (N = 949)
Cleveland Clinic Observed*
3.6%
2022 (N = 819)
Cleveland Clinic Observed*
3.1%

*No reportable benchmark data available.

PERCUTANEOUS CORONARY INTERVENTION (PCI) IN 2025

1,522

Percutaneous coronary interventions

52.9%

Same-day discharge rate for elective PCI cases

1.40%

PCI risk-standardized mortality (all patients), better than the 1.86% NCDR 50th percentile rate

1.17%

PCI risk-standardized mortality for STEMI patients (without cardiogenic shock or cardiac arrest), better than the 2.11% NCDR 50th percentile rate

43 minutes

Median time to PCI for STEMI patients, better than the NCDR 50th percentile of 62 minutes

100%

Proportion of STEMI patients receiving PCI within 90 minutes, better than the 94.24% NCDR 50th percentile rate

(Source: National Cardiovascular Data Registry, CathPCI Registry®, American College of Cardiology Foundation, for rolling four-quarter period through Q4 2025)

NCDR = National Cardiovascular Data Registry; STEMI = ST-elevation myocardial infarction

VASCULAR DISEASE

VASCULAR SURGERY VOLUMES

bar graph with data for years 2023 to 2025

2025 MORTALITY RATES FOR LEADING PROCEDURES

Abdominal Aortic Aneurysm (AAA) Repair

1%

Elective open AAA repair (N = 89)

17%

Ruptured open AAA repair (N = 18)

0%

Elective endovascular AAA repair (N = 156)

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6%

Ruptured endovascular AAA repair (N = 17)

Carotid Stenting*

0%

(N = 89)

Carotid Endarterectomy*

1%

(N = 458)

*Includes all services that perform these procedures at Cleveland Clinic’s Main Campus and regional hospitals.

NONINVASIVE VASCULAR LAB STUDIES PERFORMED

bar graph showing data for years 2023 to 2025

Cleveland Clinic’s Heart, Vascular & Thoracic Institute has a long tradition of reporting volume and outcomes data across its subspecialty areas. For more information like the data reported above, visit clevelandclinic.org/e15.

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