Current Status of Cardiovascular Surgery in Japan : Analysis of Data from Japan Cardiovascular Surgery Database in 2015, 2016

Yasutaka HIRATA; Norimichi HIRAHARA; Arata MURAKAMI; Noboru MOTOMURA; Hiroaki MIYATA; Shinichi TAKAMOTO

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Current Status of Cardiovascular Surgery in Japan : Analysis of Data from Japan Cardiovascular Surgery Database in 2015, 2016

VernacularTitle:本邦における心臓血管外科手術の現状：2015年，2016年の日本心臓血管外科手術データベースの検討
Author: Yasutaka HIRATA ¹ ; Norimichi HIRAHARA ² ; Arata MURAKAMI ¹ ; Noboru MOTOMURA ³ ; Hiroaki MIYATA ¹ ; Shinichi TAKAMOTO ⁴
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1. The Japan Cardiovascular Surgery Database (JCVSD) , the Japanese Society for Cardiovascular Surgery
2. Department of Cardiac Surgery, The University of Tokyo School of Medicine
3. Department of Health Policy and Management, School of Medicine, Keio University
4. Kanazawa Cardiovascular Hospital
Keywords: the Japan Cardiovascular Surgery Database (JCVSD); congenital heart surgery
From:Japanese Journal of Cardiovascular Surgery 2019;48(1):1-5
CountryJapan
Language:Japanese
Abstract: Methods : We collated the nationwide data on congenital heart operations performed between January 2015 and December 2016 from the Japan Cardiovascular Surgery Database (JCVSD). The mortality and morbidity data for the 20 most-frequently performed procedures were analyzed. We also classified the surgical centers into three groups, according to the number of cardiopulmonary cases over a year and estimated the institution-wise distribution of major operations. Results : The mortality rate of the ASD and VSD repair procedures was ＜1%, while the mortality rate of procedures including TOF repair, complete AVSD repair, Rastelli operation, CoA complex repair, bidirectional Glenn and TCPC was found to be between 2-3%. The mortality rate of surgeries such as the Norwood procedure and TAPVC repair was comparably higher (＞10%). These complicated procedures were mainly performed at the surgical institutes handling a large volume of cases. Conclusion : Using the JCVSD, the nationwide data of congenital heart surgery, including postoperative complications, were analyzed.