1. 1 Heart surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD j.l.svennevig@medisin.uio.no 23092009

2. 2 Heart surgery in Norway 2008 All operations Incl. open and closed heart surgery, ECMO, VAD and surgery on the thoracic aorta. ICD and pacemakers are not included

3. 3 Heart surgery in Norway 2008 Heart lung machines

4. 4 Heart surgery in Norway No. of operations per 100.000 inh.

5. 5 HEART SURGERY IN NORWAY No. of operations /Hospital

6. 6 HEART SURGERY IN NORWAY Coronary artery bypass surgery No. 2007: Only 20 OFF-PUMP

7. 7 HEART SURGERY IN NORWAY Valve surgery No.

8. 8 HEART SURGERY IN NORWAY Congenital No.

9. 9 HEART SURGERY IN NORWAY Thoracic aorta excl. valves No.

10. 10 HEART SURGERY IN NORWAY Thoracic transplants No. 2008: Hearts 37, lungs 25, hl: 2

11. 11 HEART SURGERY IN NORWAY Surgical ablation for atrial fibrillation No.

12. 12 Elective and emergency surgery Elective n= 4034 Emergency n= 987 (18.9%)‏ Female gender n= 1457 (29%) Redo operation n= 343 (6.8%) ‏

13. 13 Interventional coronary treatment in Norway vs CABG Source: The Norwegian Association of Cardiothoracic surg. The Norwegian Society of Cardiology and NPR No of patients

14. 14 HEART SURGERY IN NORWAY 2008 AGE DISTRIBUTION No. of patients AGE GROUPS

15. 15 HEART SURGERY IN NORWAY MEAN AGE AND OLDEST PATIENT, ADULTS (>18 YEARS)‏ Yrs.

16. 16 Valve operations 2003-2008, all patients No. of patients: Aortic valve surgery 992 1099 1179 1206 1171 1254 Mitral valve surgery 202 209 261 262 298 283 Tricuspid valve surgery 9 27 27 38 59 61 No. of prostheses or repairs: Mechanical prostheses 619 595 542 499 421 375 Biological prostheses 406 573 755 835 815 947 Valve repair 112 133 184 198 297 285

17. 17 Mechanical vs. Bioprostheses, trends 1995-2008 %

18. 18 Heart operations in Norway 2008 Preop.risk factors(%), all patients (Euroscore only for heart surgery in adults) %

19. 19 Heart operations in Norway 30-day mortality (%), all patients %

20. 20 Heart operations in Norway Morbidity (%), all patients %

21. 21 Heart operations in Norway 2008 %