Pediatric Heart Surgery Survival Rates by Procedure | The Children's Hospital of Philadelphia

Cardiac Center

Cardiac Center Surgery Survival Rates by Procedure

The Cardiac Center team performs more than 850 pediatric heart surgeries a year, including open heart and closed heart procedures and heart transplants. Open heart procedures, which represent a major portion of our volume, require cardiopulmonary bypass (heart-lung bypass machine) and are usually the most complicated and complex procedures.

Pediatric heart surgery survival rates reflect the number of patients who survived within 30 days of the surgery or until the time they were discharged, whichever period is longer. The heart transplant survival rates reflect the number of patients who survived one month, one year and three years after heart transplant.

Open heart/cardiopulmonary bypass cases

The chart below shows our annual volume and outcomes for all open heart procedures to give you a clear understanding of our overall pediatric heart surgery survival.

Total Procedures: 2595

2008 - 2012 Mortality Rate: 3.66%

 
 
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Common procedures

The following data shows CHOP's outcomes for common procedures that we track as “Quality Indicators” for congenital heart surgery.

The cardiac surgery indicators are included in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database and in the National Quality Forum (NQF) standards for pediatric heart surgery. The STS Congenital Heart Surgery Database contains data from over 100 congenital heart surgery centers in North America. The NQF is a nonprofit organization that sets or endorses standards to measure quality in healthcare.

The heart transplant indicators are included in the national database of transplant statistics developed by the Scientific Registry of Transplant Recipients. Our Heart Transplant Program is approved by the United Network for Organ Sharing (UNOS) and is a participating member of its data collection registry. 

Arterial switch operation (ASO)

For repair of transposition of the great arteries.

Total Procedures: 69
2008 - 2012 Mortality Rate: 0%

 
 
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Arterial switch operation and ventricular septal defect repair (ASO and VSD)

For repair of transposition of the great arteries and a ventricular septal defect at the same time.

Total Procedures: 27
2008 - 2012 Mortality Rate: 0%

 
 
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Closure of atrioventricular septal defects
(Complete AVSD)

To repair complete atrioventricular septal defects.

Total Procedures: 102
2008 - 2012 Mortality Rate: 2.94%

 
 
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Norwood procedure

The first in a series of surgeries for single ventricle heart defects.

Total Procedures: 171
2008 - 2012 Mortality Rate: 14.04%

 
 
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Glenn procedure

The second in a series of surgeries for single ventricle heart defects.

Total Procedures: 200
2008 - 2012 Mortality Rate: 1.0%

 
 
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Fontan procedure

The third in a series of surgeries for single ventricle heart defects.

Total Procedures: 262
2008 - 2012 Mortality Rate: 0.38%

 
 
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Tetralogy of Fallot (TOF) repair

To repair tetralogy of Fallot (TOF).

Total Procedures: 159
2008 - 2012 Mortality Rate: 1.26%

 
 
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Truncus repair

To repair truncus arteriosus.

Total Procedures: 25
2008 - 2012 Mortality Rate: 4.0%

 
 
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Ventricular septal defect (VSD) repair

To repair ventricular septal defects (VSD).

Total Procedures: 170
2008 - 2012 Mortality Rate: 0.59%

 
 
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Heart transplant outcomes

CHOP has performed more than 200 heart transplants since the inception of our Heart-Lung Transplant Program in 1990. The program performs heart transplants, heart-lung transplants and lung transplants (see lung transplant outcomes).

Recent heart transplant experience:

  • 2008: 6 transplants
  • 2009: 14 transplants
  • 2010: 11 transplants
  • 2011: 10 transplants
  • 2012: 10 transplants

A heart transplant is performed when a heart defect can’t be treated by any other medical or surgical means. It is reserved for those individuals with a high risk of dying from heart disease.

Heart patient survival (< 18 years old)

It is possible for three-year survival rates to exceed one-year survival because different groups of patients are followed for each time period.

 

Data for 1 month and 1 year survival is for patients who received heart transplants between January 1, 2009 and June 30, 2011

Data for 3 year survival is for patients who received heart transplants between July 1, 2006 and December 31, 2008

Source: Scientific Registry of Transplant Recipients

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