Japanese Journal of Cardiovascular Surgery Vol46,No5

Current Status of Cardiovascular Surgery in Japan, 2013 and 2014:A Report based on the Japan Cardiovascular Surgery Database(JCVSD) 

2. Congenital Heart Surgery

Yasutaka Hirata*1,2 Norimichi Hirahara1,3 Arata Murakami1,4
Noboru Motomura1,5 Hiroaki Miyata1,3 Shinichi Takamoto1,6

(the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery1, Tokyo, Japan, Department of Cardiac Surgery, The University of Tokyo School of Medicine2, Tokyo, Japan, Department of Health Policy and Management, Keio University3, Tokyo, Japan, Kanazawa Cardiovascular Hospital4, Kanazawa, Japan, Department of Cardiovascular Surgery, Toho University Sakura Medical Center5, Chiba, Japan, and Mitsui Memorial Hospital6, Tokyo, Japan)

Objectives:We analyzed the mortality and morbidity of congenital heart surgery in Japan by using the Japan Cardiovascular Surgery Database(JCVSD). Methods:Data regarding congenital heart surgery performed between January 2013 and December 2014 were obtained from JCVSD. The 20 most frequent procedures were selected and the mortality rates and major morbidities were analyzed. Results:The mortality rates of atrial septal defect(ASD)repair and ventricular septal defect(VSD)repair were less than 1%, and the mortality rates of tetralogy of Fallot(TOF)repair, complete atrioventricular septal defect(AVSD)repair, bidirectional Glenn, and total cavopulmonary connection(TCPC)were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection(TAPVC)repair were more than 10%. The rates of unplanned reoperation, pacemaker implantation, chylothorax, deep sternal infection, phrenic nerve injury, and neurological deficit were shown for each procedure. Conclusion:Using JCVSD, the national data for congenital heart surgery, including postoperative complications, were analyzed. Further improvements of the database and feedback for clinical practice are required.

Jpn. J. Cardiovasc. Surg. 46:191-194(2017)

Keywords:the Japan Cardiovascular Surgery Database;JCVSD;congenital heart surgery

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