{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:09:25Z","timestamp":1789189765941,"version":"build-2803163510"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Based on a voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (DGTHG) in 1980, well-defined but limited datasets of all cardiac and vascular surgery procedures performed in 78 German heart surgery departments are reported annually. For the year 2025, nearly all departments submitted a total of 181,988 procedures to the registry. Of these operations, 107,546 are defined as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 29,267 isolated coronary artery bypass grafting (CABG) procedures (relationship on-\/off-pump 2.4:1) was 97.7%, 97.4% for the 48,167 isolated heart valve procedures (26,896 transcatheter interventions included) and 99.3% for 19,528 pacemaker\/implantable cardioverter defibrillator (ICD) procedures, respectively. Concerning short- and long-term mechanical circulatory support, a total of 3,109 ECLS\/ECMO implantations and 867 ventricular assist device implantations (L-\/R-\/BVAD, TAH) were reported. In 2025, 358 isolated heart transplantations, 310 isolated lung transplantations, and 6 combined heart\u2013lung transplantations were performed. This annually updated registry of the DGTHG represents non-risk adjusted voluntary public reporting, encompassing actual data for nearly all heart surgical procedures in Germany, indicating trends in heart medicine, and representing a basis for quality management (e.g., benchmark) for all participating institutions.<\/jats:p>","DOI":"10.1055\/a-2939-3829","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:01:53Z","timestamp":1789189313000},"source":"Crossref","is-referenced-by-count":0,"title":["German Heart Surgery Report 2025: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0785-2591","authenticated-orcid":false,"given":"Andreas","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Thorax-, Herz- und Gef\u00e4\u00dfchirurgie [DGTHG], Germany","place":["Berlin"],"department":["Deutsche Gesellschaft f\u00fcr"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renate","family":"Meyer","sequence":"additional","affiliation":[{"name":"BQS Institute for Quality and Patient Safety, Germany","place":["Hamburg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge","family":"K\u00f6nig","sequence":"additional","affiliation":[{"name":"Thorax-, Herz- und Gef\u00e4\u00dfchirurgie [DGTHG], Germany","place":["Berlin"],"department":["Deutsche Gesellschaft f\u00fcr"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Gummert","sequence":"additional","affiliation":[{"name":"Heart and Diabetes Center Northrhine Westfalia, Nordrhein-Westfalen, Germany","place":["Bad Oeynhausen"],"department":["Clinic for Thoracic and Cardiovascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6411-909X","authenticated-orcid":false,"given":"Torsten","family":"Doenst","sequence":"additional","affiliation":[{"name":"Jena University Hospital, Friedrich-Schiller-University of Jena, Germany","place":["Jena"],"department":["Department of Cardiothoracic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1055\/s-2007-1022437","article-title":"Cardiac surgery in the Federal Republic of Germany during 1978 and 1979. A report by the German Society for Thoracic and Cardiovascular Surgery","volume":"28","author":"G Rodewald","year":"1980","journal-title":"Thorac Cardiovasc Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1055\/s-2007-1014178","article-title":"Cardiac Surgery in the Federal Republic of Germany during 1984. A report by the German Society for Thoracic and Cardiovascular Surgery","volume":"33","author":"G Rodewald","year":"1985","journal-title":"Thorac Cardiovasc Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1055\/s-2007-1020317","article-title":"Cardiac surgery in the Federal Republic of Germany during 1988","volume":"37","author":"P Kalmar","year":"1989","journal-title":"Thorac Cardiovasc Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1055\/s-2007-1014019","article-title":"Cardiac surgery in the Federal Republic of Germany during 1989. A report by the German Society for Thoracic and Cardiovascular Surgery","volume":"38","author":"P Kalmar","year":"1990","journal-title":"Thorac Cardiovasc Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1055\/s-0030-1271191","article-title":"Cardiac surgery in Germany during 2010: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery","volume":"59","author":"J F Gummert","year":"2011","journal-title":"Thorac Cardiovasc Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1055\/s-0036-1592124","article-title":"German Heart Surgery Report 2015: the annual updated registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"64","author":"A Beckmann","year":"2016","journal-title":"Thorac Cardiovasc Surg"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1055\/a-2737-6756","article-title":"German Heart Surgery Report 2024: the annual updated Registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"73","author":"A Beckmann","year":"2025","journal-title":"Thorac Cardiovasc Surg"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.1016\/j.athoracsur.2019.03.001","article-title":"2019 AATS\/ACC\/ASE\/SCAI\/STS Expert Consensus Systems of Care Document: a proposal to optimize care for patients with valvular heart","volume":"107","author":"R A Nishimura","year":"2019","journal-title":"Ann Thorac Surg"},{"issue":"05","key":"ref9","first-page":"e72","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"143","author":"C M Otto","year":"2021","journal-title":"Circulation"},{"issue":"44","key":"ref10","first-page":"4635","article-title":"Task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS); 2025 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"46","author":"F Praz","year":"2025","journal-title":"Europ Heart J"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1055\/s-0032-1323155","article-title":"The German Aortic Valve Registry (GARY): a nationwide registry for patients undergoing invasive therapy for severe aortic valve stenosis","volume":"60","author":"A Beckmann","year":"2012","journal-title":"Thorac Cardiovasc Surg"},{"issue":"13","key":"ref13","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.jacc.2018.01.065","article-title":"Rapid deployment versus conventional bioprosthetic valve replacement for aortic stenosis","volume":"71","author":"S Ensminger","year":"2018","journal-title":"J Am Coll Cardiol"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1093\/ejcts\/ezx408","article-title":"Trends in practice and outcomes from 2011 to 2015 for surgical aortic valve replacement: an update from the German Aortic Valve Registry on 42 776 patients","volume":"53","author":"B Fujita","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jcin.2017.12.019","article-title":"Conscious sedation versus general anesthesia in transcatheter aortic valve replacement: the German Aortic Valve Registry","volume":"11","author":"O Husser","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"2611","DOI":"10.1161\/CIRCULATIONAHA.117.033048","article-title":"Patients at intermediate surgical risk undergoing interventional or surgical aortic valve implantation for severe aortic stenosis: one-year results from the German Aortic Valve Registry","volume":"138(23)","author":"N Werner","year":"2018","journal-title":"Circulation"},{"issue":"17","key":"ref17","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1093\/eurheartj\/ehy699","article-title":"Patients at low surgical risk as defined by the Society of Thoracic Surgeons Score undergoing isolated interventional or surgical aortic valve implantation: in-hospital data and 1-year results from the German Aortic Valve Registry (GARY)","volume":"40","author":"R Bekeredjian","year":"2019","journal-title":"Eur Heart J"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1093\/ejcts\/ezz168","article-title":"Impact of new pacemaker implantation following surgical and transcatheter aortic valve replacement on 1-year outcome","volume":"57","author":"B Fujita","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"issue":"09","key":"ref19","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1007\/s00392-020-01601-4","article-title":"Transcatheter aortic valve implantation in nonagenarians: insights from the German Aortic Valve Registry (GARY)","volume":"109","author":"J Blumenstein","year":"2020","journal-title":"Clin Res Cardiol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.amjcard.2020.05.002","article-title":"Prognostic impact of underweight (body mass index <20\u2009kg\/m2) in patients with severe aortic valve stenosis undergoing transcatheter aortic valve implantation or surgical aortic valve replacement (from the German Aortic Valve Registry [GARY])","volume":"129","author":"L Voigtl\u00e4nder","year":"2020","journal-title":"Am J Cardiol"},{"issue":"22","key":"ref21","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/j.jcin.2020.09.018","article-title":"Transcatheter versus rapid-deployment aortic valve replacement: a propensity-matched analysis from the German Aortic Valve Registry","volume":"13","author":"M Abdel-Wahab","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s00392-020-01717-7","article-title":"Transcatheter or surgical aortic valve implantation in chronic dialysis patients: a German Aortic Valve Registry analysis","volume":"110","author":"G F\u00e4rber","year":"2021","journal-title":"Clin Res Cardiol"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1093\/ejcts\/ezaa446","article-title":"Impact of chronic kidney disease in 29 893 patients undergoing transcatheter or surgical aortic valve replacement from the German Aortic Valve Registry","volume":"59","author":"S Mas-Peiro","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1093\/ejcts\/ezab216","article-title":"Five-year outcome in 18\u2009010 patients from the German Aortic Valve Registry","volume":"60","author":"F Beyersdorf","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.amjcard.2021.10.021","article-title":"Procedural results of patients undergoing transcatheter aortic valve implantation with aortic annuli diameter \u226526\u2009mm: insights from the German Aortic Valve Registry","volume":"164","author":"K Piayda","year":"2022","journal-title":"Am J Cardiol"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"ezac286","DOI":"10.1093\/ejcts\/ezac286","article-title":"Surgical aortic valve replacement in patients aged 50\u201369 years\u2014insight from the German Aortic Valve Registry (GARY)","volume":"62","author":"F Vogt","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"ezac416","DOI":"10.1093\/ejcts\/ezac416","article-title":"Outcomes of aortic valve repair: early results from the German Aortic Valve Registry","volume":"62","author":"E Girdauskas","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"issue":"11","key":"ref28","doi-asserted-by":"crossref","first-page":"E776","DOI":"10.25270\/jic\/22.00117","article-title":"A novel model to predict 1-year mortality in elective transfemoral aortic valve replacement: the TAVR-Risk score","volume":"34","author":"C Jung","year":"2022","journal-title":"J Invasive Cardiol"},{"issue":"12","key":"ref29","doi-asserted-by":"crossref","first-page":"E841","DOI":"10.25270\/jic\/22.00219","article-title":"TAVI with or without predilation: trends from a large, propensity-score weighted German Aortic Valve Registry (GARY) population","volume":"34","author":"B Alushi","year":"2022","journal-title":"J Invasive Cardiol"},{"issue":"12","key":"ref30","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1007\/s00392-022-02083-2","article-title":"Propensity matched comparison of TAVI and SAVR in intermediate-risk patients with severe aortic stenosis and moderate-to-severe chronic kidney disease: a subgroup analysis from the German Aortic Valve Registry","volume":"111","author":"S Silvia Mas-Peiro","year":"2022","journal-title":"Clin Res Cardiol"},{"issue":"01","key":"ref31","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s00392-023-02242-z","article-title":"Comparison of contemporary transcatheter heart valve prostheses: data from the German Aortic Valve Registry (GARY)","volume":"113","author":"T K Rudolph","year":"2024","journal-title":"Clin Res Cardiol"},{"issue":"22","key":"ref32","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1136\/heartjnl-2023-322548","article-title":"Direct oral anticoagulants versus vitamin K antagonist after transcatheter aortic valve implantation","volume":"109","author":"C Hohmann","year":"2023","journal-title":"Heart"},{"issue":"03","key":"ref33","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1093\/ehjdh\/ztad021","article-title":"Development and validation of explainable machine learning models for risk of mortality in transcatheter aortic valve implantation: TAVI risk machine scores","volume":"4","author":"A Leha","year":"2023","journal-title":"Eur Heart J Digit Health"},{"issue":"03","key":"ref34","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s00392-024-02402-9","article-title":"Non-femoral focused transaxillary access in TAVI: GARY data analysis and future trends","volume":"114","author":"M M Meertens","year":"2025","journal-title":"Clin Res Cardiol"},{"issue":"08","key":"ref35","first-page":"ivaf189","article-title":"Short- and long-term outcomes after transcatheter or surgical aortic valve replacement in patients with chronic lung disease: an analysis from the German Aortic Valve Registry","volume":"40","author":"A B\u00f6ning","year":"2025","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"issue":"05","key":"ref36","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1016\/j.athoracsur.2010.05.055","article-title":"J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database","volume":"90","author":"J S Gammie","year":"2010","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref37","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.1016\/j.athoracsur.2003.12.018","article-title":"Are unaudited records from an outcomes registry database accurate?","volume":"77","author":"M A Herbert","year":"2004","journal-title":"Ann Thorac Surg"},{"issue":"36","key":"ref38","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1093\/eurheartj\/ehae177","article-title":"2024 ESC Guidelines for the management of chronic coronary syndromes: Developed by the task force for the management of chronic coronary syndromes of the European Society of Cardiology (ESC) Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"45","author":"C Vrints","year":"2024","journal-title":"Eur Heart J"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2939-3829.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:01:57Z","timestamp":1789189317000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2939-3829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":37,"URL":"https:\/\/doi.org\/10.1055\/a-2939-3829","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]}}}