Vital Statistics in Adult Cardiac Surgery, Valve Surgery and Aorta Surgery

Below we share recent volumes and clinical outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute.

ADULT CARDIAC SURGERY

Adult Cardiac Surgery Mortality Remains Low Even as Volumes Rise

Over the past 17 years, mortality for these operations at Cleveland Clinic has substantially trended downward even as volumes rise and case complexity increases.

3-Star Performance

Cleveland Clinic received the highest Composite Quality Rating (3 stars) for these operations in the latest STS Adult Cardiac Surgery Database report*:

*For 3-year period ending June 2023.
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement

2023 Operative Mortality*

*From 1/1/2023 through 12/31/2023.
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MV = mitral valve

VALVE AND AORTA SURGERY

Isolated Aortic Valve Replacement (AVR)

0.5% operative mortality for isolated surgical AVR in 2023 (N = 418)

(vs. 1.4% STS predicted mortality)

0.5% operative mortality for surgical AVR + CABG in 2023 (N = 183)

(vs. 2.8% STS predicted mortality)

0.4% procedural mortality for transcatheter AVR in 2023 (N = 699)

(no predicted rate available)

Isolated Mitral Valve Repair

0% operative mortality among 4,542 cases from 2014 through 2023

Isolated Mitral Valve Replacement

2.2% operative mortality in 2023 (N = 186)

(vs. 3.8% STS predicted mortality)

Aorta Surgery*

2.7% operative mortality in 2023 (N = 1,268)

(no predicted rate available)

1.6% operative mortality for elective cases in 2023 (N = 1,006)

(no predicted rate available)

*Aorta surgery data are from the STS Adult Cardiac Surgery Database and do not include vascular surgery cases.

STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting

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