Cirugía cardiovascular en España en el año 2022. Registro de intervenciones de la Sociedad Española de Cirugía Cardiovascular y Endovascular

This manuscript summarizes the data corresponding to the cardiovascular surgery activity carried out in Spain in 2022. It has been written based on an anonymous and voluntary registry of aggregated data from hospitals throughout the country, who transfer their data to the Spanish Society of Cardiovascular and Endovascular Surgery. This is the 34th consecutive year in which national activity data has been reported. The analysis of the information collected in 2022 will serve to evaluate the activity in Spain after the end of the COVID-19 pandemic and its impact to the National Health System.

In 2022, 58 centers reported their activity. 28,998 interventions were performed, with 20,127 major cardiac surgery procedures. Of these, 17,923 procedures were performed with cardiopulmonary bypass, 18,210 were for acquired disease and 1,917 were for congenital disease. In addition, 2,828 peripheral vascular surgery interventions were recorded. Regarding the different types of major cardiac surgery, the following were performed: 7,596 isolated valve surgery procedures, 1,621 combined valve surgery, 4,701 revascularization procedures, 2,432 aortic surgery, and 579 transcatheter valve procedures.

Compared to 2021, we observed an increase in acquired major cardiac surgery, but without recovering the level of activity prior to the pandemic. Likewise, a significant reduction in mortality was observed compared to 2021, with risk-adjusted mortality rates below 1 in all types of interventions except for multiple valve, combined valve and coronary procedures, and repair of mechanical complications of infarction.