Categories in Risk Adjustment for Congenital Heart Surgery 1 (RACHS-1)

atrial septal defect (ASD)

ASD secundum, sinus venosus ASD, patent foramen ovale

1

aortopexy

1

patent ductus arteriosus

age > 30 days

1

coarctation of the aorta

age > 30 days

1

anomalous pulmonary venous connection, partial

1

aortic valvotomy or valvuloplasty

age > 30 days

2

subaortic stenosis

2

pulmonary valvotomy or valvuloplasty

2

pulmonary valve replacement

2

right ventricular infundibulectomy

2

pulmonary outflow tract augmentation

2

coronary artery fistula

2

atrial AND ventricular septal defects

2

atrial septal defect (ASD)

primum

2

ventricular septal defect (VSD)

2

ventricular septal defect AND pulmonary valvotomy

2

ventricular septal defect AND infundibular resection

2

ventricular septal defect closure AND pulmonary artery band removal

2

septal defect, unspecified

2

tetralogy of Fallot, total

2

anomalous pulmonary veins, total

age > 30 days

2

Glenn shunt

2

vascular ring surgery

2

aorto-pulmonary window

2

coarctation of the aorta

age <= 30 days

2

pulmonary artery stenosis

2

pulmonary artery transection

2

common atrium

2

left ventricular to right atrial shunt

2

aortic valve replacement

3

Ross procedure

3

left ventricular outflow tract

patch

3

ventriculomyotomy

3

aortoplasty

3

mitral valvotomy or valvuloplasty

3

mitral valve replacement

3

tricuspid valve valvectomy

3

tricuspid valvotomy or valvuloplasty

3

tricuspid valve replacement

3

tricuspid valve repositioning in Ebstein anomaly

age > 30 days

3

anomalous coronary artery without intrapulmonary tunnel

3

anomalous coronary artery with intrapulmonary tunnel (Takeuchi)

3

aortic valve, semilunar

3

pulmonary valve, semilunar

3

right ventricular to pulmonary artery conduit

3

left ventricular to pulmonary artery conduit

3

double-outlet right ventricle with or without repair of right ventricular obstruction

3

Fontan procedure

3

atrioventricular canal, transitional or complete

with or without valve replacement

3

pulmonary artery banding

3

tetralogy of Fallot with pulmonary atresia

3

cor triatriatum

3

shunt, systemic to pulmonary artery

3

atrial switch operation

3

arterial switch operation

3

anomalous pulmonary artery

reimplantation

3

annuloplasty

3

coarctation AND ventricular septal defect

3

intracardiac tumor resection

3

aortic valvotomy or valvuloplasty

age <= 30 days

4

Konno procedure

4

repair of complex anomaly (single ventricle) by ventricular septal defect enlargement

4

anomalous pulmonary veins, total

age <= 30 days

4

atrial septectomy

4

transposition, ventricular septal defect AND subpulmonary stenosis (Rastelli)

4

atrial switch operation with ventricular septal defect closure

4

atrial switch operation with repair of subpulmonary stenosis

4

arterial switch operation with pulmonary artery band removal

4

arterial switch operation with ventricular septal defect closure

4

arterial switch operation with repair of subpulmonary stenosis

4

truncus arteriosus

4

aortic arch, hypoplastic or interrupted, without ventricular septal defect closure

4

aortic arch, hypoplastic or interrupted, with ventricular septal defect closure

4

transverse arch graft

4

tetralogy of Fallot and pulmonary atresia

unifocalization

4

double switch

4

tricuspid valve repositioning for neonatal Ebstein anomaly

age <= 30 days

5

truncus arteriosus AND interrupted arch

5

left heart syndrome, hypoplastic

Stage 1 repair (Norwood procedure)

6

left heart syndrome, nonhypoplastic

Stage 1 repair

6

Damus-Kaye-Stansel procedure

6

annuloplasty

3

anomalous coronary artery with intrapulmonary tunnel (Takeuchi)

3

anomalous coronary artery without intrapulmonary tunnel

3

anomalous pulmonary artery

reimplantation

3

anomalous pulmonary veins, total

age > 30 days

2

anomalous pulmonary veins, total

age <= 30 days

4

anomalous pulmonary venous connection, partial

1

aortic arch, hypoplastic or interrupted, with ventricular septal defect closure

4

aortic arch, hypoplastic or interrupted, without ventricular septal defect closure

4

aortic valve replacement

3

aortic valve, semilunar

3

aortic valvotomy or valvuloplasty

age > 30 days

2

aortic valvotomy or valvuloplasty

age <= 30 days

4

aortopexy

1

aortoplasty

3

aorto-pulmonary window

2

arterial switch operation

3

arterial switch operation with pulmonary artery band removal

4

arterial switch operation with repair of subpulmonary stenosis

4

arterial switch operation with ventricular septal defect closure

4

atrial AND ventricular septal defects

2

atrial septal defect (ASD)

ASD secundum, sinus venosus ASD, patent foramen ovale

1

atrial septal defect (ASD)

primum

2

atrial septectomy

4

atrial switch operation

3

atrial switch operation with repair of subpulmonary stenosis

4

atrial switch operation with ventricular septal defect closure

4

atrioventricular canal, transitional or complete

with or without valve replacement

3

coarctation AND ventricular septal defect

3

coarctation of the aorta

age > 30 days

1

coarctation of the aorta

age <= 30 days

2

common atrium

2

repair of complex anomaly (single ventricle) by ventricular septal defect enlargement

4

cor triatriatum

3

coronary artery fistula

2

Damus-Kaye-Stansel procedure

6

double switch

4

double-outlet right ventricle with or without repair of right ventricular obstruction

3

Fontan procedure

3

Glenn shunt

2

intracardiac tumor resection

3

Konno procedure

4

left heart syndrome, hypoplastic

Stage 1 repair (Norwood procedure)

6

left heart syndrome, nonhypoplastic

Stage 1 repair

6

left ventricular outflow tract

patch

3

left ventricular to pulmonary artery conduit

3

left ventricular to right atrial shunt

2

mitral valve replacement

3

mitral valvotomy or valvuloplasty

3

patent ductus arteriosus

age > 30 days

1

pulmonary artery banding

3

pulmonary artery stenosis

2

pulmonary artery transection

2

pulmonary outflow tract augmentation

2

pulmonary valve replacement

2

pulmonary valve, semilunar

3

pulmonary valvotomy or valvuloplasty

2

right ventricular infundibulectomy

2

right ventricular to pulmonary artery conduit

3

Ross procedure

3

septal defect, unspecified

2

shunt, systemic to pulmonary artery

3

subaortic stenosis

2

tetralogy of Fallot and pulmonary atresia

unifocalization

4

tetralogy of Fallot with pulmonary atresia

3

tetralogy of Fallot, total

2

transposition, ventricular septal defect AND subpulmonary stenosis (Rastelli)

4

transverse arch graft

4

tricuspid valve replacement

3

tricuspid valve repositioning for neonatal Ebstein anomaly

age <= 30 days

5

tricuspid valve repositioning in Ebstein anomaly

age > 30 days

3

tricuspid valve valvectomy

3

tricuspid valvotomy or valvuloplasty

3

truncus arteriosus

4

truncus arteriosus AND interrupted arch

5

vascular ring surgery

2

ventricular septal defect (VSD)

2

ventricular septal defect AND infundibular resection

2

ventricular septal defect AND pulmonary valvotomy

2

ventricular septal defect closure AND pulmonary artery band removal

2

ventriculomyotomy

3