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

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  • Hirata Yasutaka
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Department of Cardiac Surgery, The University of Tokyo School of Medicine
  • Hirahara Norimichi
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Department of Health Policy and Management, Keio University
  • Murakami Arata
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Kanazawa Cardiovascular Hospital
  • Motomura Noboru
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Department of Cardiovascular Surgery, Toho University Sakura Medical Center
  • Miyata Hiroaki
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Department of Health Policy and Management, Keio University
  • Takamoto Shinichi
    the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery Mitsui Memorial Hospital

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Other Title
  • 本邦における2013,2014年の心臓血管外科手術の現状:日本心臓血管外科手術データベース(JCVSD)からの報告
  • Current status of cardiovascular surgery in Japan 2013 and 2014: A report based on the Japan Cardiovascular Surgery Database. 2: Congenital heart surgery
  • 2. 先天性心疾患手術
  • 2. Congenital Heart Surgery

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<p>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.</p>

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