Abstract
Background: According to the recent German Heart Surgery Report 2021 by the Society for Thoracic and Cardiovascular Surgery, 7,499 aortic procedures are performed yearly in Germany with the use of ECC (12% of ECC procedures; + ~5% vs. 2020). A total of 2,815 aortic arch procedures were reported. Although aortic surgery constitutes a significant portion of the heart surgery work load, no specific DRG exists for these procedures. Especially complex aortic arch procedures (e.g., total aortic arch repair with frozen elephant trunk [FET]) consume a significant amount of resources and seem to be underfunded. We investigated costs and reimbursement of these procedures in our institution.
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