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[Evolution of cardiovascular surgery at the Instituto do Coração: analysis of 71,305 surgeries]

Luiz Augusto F Lisboa1, Luiz Felipe P Moreira, Omar Vilca Mejia

  • 1Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. lisboa@cardiol.br

Arquivos Brasileiros De Cardiologia
|April 30, 2010
PubMed

Insights

Cardiovascular surgery is increasing, with coronary artery bypass graft remaining common. However, procedures for heart valves and congenital heart disease are rising, with mortality rates higher than international benchmarks.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Public Health

Background:

  • Advancements in percutaneous techniques, clinical treatment, and primary prevention are transforming cardiovascular surgery.
  • The Instituto do Coração (InCor-HCFMUSP) is a key tertiary reference center for cardiovascular procedures in Brazil.

Purpose of the Study:

  • To evaluate the incidence and mortality trends of heart surgeries performed at the Instituto do Coração (InCor-HCFMUSP) between 1984 and 2007.

Main Methods:

  • A retrospective analysis of cardiovascular surgery data from the Instituto do Coração database.
  • Examination of trends in main surgical procedures and associated mortality rates over a 24-year period.

Main Results:

  • A total of 71,305 heart surgeries were performed, averaging 2,971 annually.
  • Significant increases observed in heart valve procedures (36.7%) and congenital heart disease repair (50.8%) compared to the 1990s.
  • While overall mortality decreased slightly from 7.5% to 7.0%, elective procedure mortality is 4.9%, with specific rates for coronary artery bypass graft (4.8%), valve surgery (8.5%), and congenital heart disease repair (5.3%).

Conclusions:

  • Cardiovascular surgery volume continues to grow, with coronary artery bypass graft still the most frequent procedure.
  • There is a notable shift towards increased complexity in procedures, particularly for cardiac valves and congenital heart disease.
  • Mortality rates at this national reference center remain higher than international standards, indicating the high complexity of cases managed.
Abstract

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