6/06/2012

RACHS Score categories

Jenkins, KJ et al. JTCVS 2002;123:110-8

Risk Adjusted Congenital Heart Surgery Score

RACHS category 1:

1. Secundum ASD

2. Aortopexy

3. PDA (> 30 days of age)

4. Coarctation (> 30 days of age)

5. PAPVR repair



RACHS category 2:

1. Aortic valvuloplasty (> 30 days of age)

2. SubAS resection

3. Pulmonary valvuloplasty or replacement

4. RV infundibulectomy

5. RVOT augmentation

6. Coronary fistula repair

7. ASD & VSD repair

8. Primum ASD repair

9. VSD repair

10. Tetralogy repair

11. VSD closure with PA band removal

12. Repair of unspecified septal defect

13. TAPVR repair (> 30 days of age)

14. Glenn shunt

15. Vascular ring surgery

16. A-P window repair

17. Coarctation repair (≤ 30 days of age)

18. PA stenosis repair

19. Common atrium closure

20. LV-RA shunt repair



RACHS category 3:

1. AVR

2. Ross procedure

3. LVOT patch

4. Ventriculomyotomy

5. Aortoplasty

6. Mitral valvuloplasty or replacement

7. Tricuspid valvuloplasty or valvectomy or replacement

8. Tricuspid valve repositioning (Ebstein’s) (> 30 days of age)

9. Anomalous coronary artery repair with or without intrapulmonary tunnel (Takeuchi)

10. Closure of semilunar valve (aortic or pulmonary valve)

11. RV-PA conduit

12. LV-PA conduit

13. DORV repair with or without RV obstruction

14. Fontan

15. AVSD (complete or transitional) repair with or without valve replacement

16. PA banding

17. Tetralogy with Pulm. Atresia repair

18. Cor triatriatum repair

19. Systemic-Pulmonary artery shunt

20. Atrial switch operation

21. Arterial switch operation

22. Pulmonary artery reimplantation

23. Annuloplasty

24. Coarctation & VSD repair

25. Cardiac tumor excision



RACHS category 4:

1. Aortic valvuloplasty (≤ 30 days of age)

2. Konno procedure

3. Complex defect (Single ventricle) repair with VSD enlargement

4. TAPVR repair (≤ 30 days of age)

5. Rastelli procedure

6. Atrial switch with VSD closure

7. Atrial switch with subpulmonary stenosis repair

8. Arterial switch with PA band removal

9. Arterial switch with VSD closure

10. Arterial switch with subpulmonary stenosis repair

11. Truncus repair

12. Repair of … or interrupted aortic arch with or without VSD repair

13. Unifocalization … Tetralogy-PA

14. …



RACHS category 5:

1. Tricuspid valve repositioning for neonatal Ebstein’s (≤ 30 days of age)

2. Truncus with Interrupted aortic arch repair



RACHS category 6:

1. Norwood operation

2. …

















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