Heart surgery in Norway 2011
Norwegian Association of Cardiothoracic Surgeons
Jan L.Svennevig, MD,PhD
2
Heart surgery in Norway 2011
All operations
Incl. open and closed heart surgery, ECMO, VAD and surgery on the thoracic aorta.
ICDs and pacemakers are not included
Heart surgery in Norway 2011
Heart lung machines
4
Heart surgery in Norway 2011
No. of operations per 100.000 inh.
90 93
61
81 80 84 77
88
63 58 70
81
94 95
83 87
129 127 155
0 50 100 150 200
Oppl Hedm Oslo Østf Akersh Busk Vestf Telem Aust-A Vest-A Rog Hord Sogn&F Møre&R Sørt-Tr Nord_tr Nordland Troms Finnmark
2005 2011
HEART SURGERY IN NORWAY
No. of operations /Hospital
487
1362
635 547 545 664
200 400 600 800 1000 1200 1400 1600
2005 2011
6
HEART SURGERY IN NORWAY 2011
Coronary artery bypass surgery
No.
HEART SURGERY IN NORWAY 2011
Valve surgery, adults
No.
8
HEART SURGERY IN NORWAY 2011
Congenital
No.
HEART SURGERY IN NORWAY 2011
Thoracic aorta excl. valves
No.
10
HEART SURGERY IN NORWAY 2011
Thoracic transplants
No.
2011: Hearts 29, lungs 27, heart+lung 1
HEART SURGERY IN NORWAY 2011
Surgical ablation for atrial fibrillation
No.
12
Elective and emergency surgery
• Elective n= 3,813
• Emergency n= 427(10.1%)
• Female gender n= 1203 (28.4%)
• Redo operation n= 280 (6.6%)
HEART SURGERY IN NORWAY 2011
Interventional coronary treatment in Norway vs CABG
No of patients
HEART SURGERY IN NORWAY 2011
14
HEART SURGERY IN NORWAY 2011
Age distribution
No. of patients
AGE GROUPS
HEART SURGERY IN NORWAY 2011
Mean age(adults) and oldest patient
Yrs.
16
Valve operations 2005, 2011, all patients
• No. of patients:
• Aortic valve surgery 1179 1144
• Mitral valve surgery 261 277
• Tricuspid valve surgery 27 49
• No. of prostheses or repairs:
• Mechanical prostheses 542 309
• Biological prostheses 755 862
• Valve repair 184 284
HEART SURGERY IN NORWAY 2011
Mechanical vs. Bioprostheses, trends 1995-2011
80
20 26,4
73,6
20 30 40 50 60 70 80 90
1995 2000 2005 2011
%
HEART SURGERY IN NORWAY 1
18
HEART SURGERY IN NORWAY 2011
Preop.risk factors (%), all patients
(Euroscore only for open heart surgery in adults)
13,8
5,1
1,1
2,8
5,5
0 2 4 6 8 10 12 14 16 18 20
Diabetes Stroke/Tia Endocarditis Renal failure
Euroscore
2000 2005 2011
%
HEART SURGERY IN NORWAY 2011
30-day mortality (%), all patients
0,7
2,9
4,7
10,6
1,7 2,6
5,3 2 1,3
4 6 8 10 12 14 16 18 20
2005 2011
%
20
HEART SURGERY IN NORWAY 2011
Morbidity (%), all patients
5,6
1,3
0,5
2,2
1,1
0,2 4,4
1,3 0
1 2 3 4 5 6 7 8 9 10
Resp.failur e
Me
ch.supp ort
M.infarct.
Renal fail.
Str oke
Rev.bleed.
Sepsis
Deep inf.
2000 2005 2011
%
HEART SURGERY IN NORWAY 2011
%
