Congenital heart surgery is divided into 6 levels according to the difficulty of the procedure, with increasing difficulty with each level.
RACHS-1.
Atrial septal correction (secondary foramen type, coronary sinus type, oval foramen type).
Aortic fixation arterial catheterization (>30 days).
aortic narrowing surgery (>30 days).
correction of partial type pulmonary vein ectopic drainage.
RACHS-2.
Aortic valvotomy or angioplasty (>30 days).
subaortic stenosis resection.
Pulmonary valvotomy or angioplasty.
Pulmonary valve replacement.
myotomy of the right ventricular outflow tract.
pulmonary artery and outflow tract enlargement.
Coronary fistula correction.
atrial and ventricular defect repair.
atrial septal correction (primary foramen type).
ventricular defect correction.
ventricular defect correction + pulmonary valvuloplasty or outflow tract unblocking.
ventricular defect correction + pulmonary artery annulus release.
other ventricular defect correction procedures.
radical treatment of tetralogy of Fallot.
correction of complete pulmonary vein ectopic drainage (>30 days).
Glenn shunts.
Vascular ring surgery.
aortopulmonary window repair.
aortic arch narrowing correction (≤ 30 days).
pulmonary artery stenosis correction.
pulmonary artery transection.
Common atrial correction.
Left ventricular-right atrial access correction.
RACHS-3.
Aortic valve replacement.
Ross procedure.
Left ventricular outflow tract patch enlargement.
Ventricular myotomy.
Aortoplasty.
mitral valve incision or plication.
mitral valve replacement.
tricuspid valvotomy.
tricuspid valvotomy or plication.
tricuspid valve replacement.
Ebstein tricuspid valve transposition (>30 days).
correction of anomalous coronary origin (non-pulmonary intra-arterial access)
Corrective surgery for anomalous coronary origin (intrapulmonary access).
aortic or pulmonary valve closure.
right ventricle to pulmonary artery conduit surgery.
left ventricular to pulmonary artery ducting.
right ventricular double outlet correction.
Fontan surgery.
complete or transitional atrioventricular access correction.
Pulmonary artery circumferential reduction.
Law IV with pulmonary atresia correction.
triple atrial heart correction.
body-pulmonary bypass.
atrial transposition surgery.
aortic transposition surgery.
coronary artery ectopic correction.
valvuloplasty.
correction of aortic constriction combined with ventricular septal defect.
intracardiac tumor resection.
RACHS-4
aortic valvotomy or angioplasty (≤ 30 days).
Konno procedure.
ventricular septal enlargement.
Complete pulmonary vein ectopic drainage correction (≤ 30 days).
Atrial septotomy.
Rastelli procedure.
atrial transposition surgery (and septal defect repair).
atrial transposition surgery (and correction of subpulmonary stenosis).
aortic transposition surgery (and pulmonary artery annuloplasty release).
aortic transposition surgery (and repair of ventricular septal defect)
aortic transposition surgery (and correction of subvalvular pulmonary stenosis)
permanent arterial trunk repair.
correction of aortic arch dysplasia (unclosed ventricular defect).
aortic arch dysplasia correction (ventricular defect repair).
transverse aortic arch patching.
Monogenization procedures (French IV or pulmonary artery atresia).
Double transposition surgery.
RACHS-5
Tricuspid valve transposition (≤ 30 days).
Aortic arch interruption and permanent arterial trunk correction.
RACHS-6
Norwood procedure.
HLHS one-stage palliation.
DKS surgery.