Current status of cardiovascular surgery in Japan, 2015 and 2016: a report based on the Japan Cardiovascular Surgery Database. 1-congenital heart surgery. 2019

Yasutaka Hirata, and Norimichi Hirahara, and Arata Murakami, and Noboru Motomura, and Hiroaki Miyata, and Shinichi Takamoto
Department of Cardiac Surgery, The University of Tokyo School of Medicine, Tokyo, Japan. h-yasu@umin.ac.jp.

OBJECTIVE We analyzed the mortality and morbidity of congenital heart surgery in Japan by using Japan Cardiovascular Surgery Database (JCVSD). METHODS The data on congenital heart surgery performed between January 2015 and December 2016 were obtained from JCVSD. From the data obtained, the most frequent 20 procedures were selected, and the mortalities and major morbidities were analyzed. In addition, the institutions were classified into three groups according to the number of cardiopulmonary cases for a year, and the distribution of the major operations was calculated. RESULTS The mortality of ASD repair and VSD repair was under 1% and the mortality of TOF repair, complete AVSD repair, Rastelli operation, CoA complex repair, bidirectional Glenn and TCPC was 2-3%. The mortality of Norwood procedure and TAPVC repair were over 10%. These difficult operations were mainly performed at relatively high-volume institutions. CONCLUSIONS Using the data from JCVSD, the national data of congenital heart surgery, including postoperative complications, were analyzed. Neonatal surgery still has considerable complication rates and further improvement is desired. In addition, it was shown that complicated operations tended to be performed at large volume institutions.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007564 Japan A country in eastern Asia, island chain between the North Pacific Ocean and the Sea of Japan, east of the Korean Peninsula. The capital is Tokyo. Bonin Islands
D009017 Morbidity The proportion of patients with a particular disease during a given year per given unit of population. Morbidities
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002309 Cardiology The study of the heart, its physiology, and its functions. Angiology,Cardiovascular Disease Specialty,Vascular Medicine,Disease Specialty, Cardiovascular,Medicine, Vascular,Specialty, Cardiovascular Disease
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
D006330 Heart Defects, Congenital Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life. Congenital Heart Disease,Heart Abnormalities,Abnormality, Heart,Congenital Heart Defect,Congenital Heart Defects,Defects, Congenital Heart,Heart Defect, Congenital,Heart, Malformation Of,Congenital Heart Diseases,Defect, Congenital Heart,Disease, Congenital Heart,Heart Abnormality,Heart Disease, Congenital,Malformation Of Heart,Malformation Of Hearts
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069278 Arterial Switch Operation Surgical procedure for anatomical correction of transposed great arteries (e.g., DOUBLE OUTLET RIGHT VENTRICLE). Arterial Switch Procedure,Arterial Switch Technique,Atrial Switch Operation,Atrial Switch Procedure,Atrial Switch Repair,Atrial Switch Technique,Double-Switch Operation,Double-Switch Procedure,Double-Switch Technique,Jatene Operation,Jatene Procedure,Jatene Technique,Mustard Operation,Mustard Procedure,Mustard Repair,Rastelli Operation,Rastelli Procedure,Rastelli Repair,Rastelli Technique,Senning Operation,Senning Procedure,Arterial Switch Operations,Arterial Switch Procedures,Arterial Switch Techniques,Atrial Switch Operations,Atrial Switch Procedures,Atrial Switch Repairs,Atrial Switch Techniques,Double Switch Operation,Double Switch Procedure,Double Switch Technique,Double-Switch Operations,Double-Switch Procedures,Double-Switch Techniques,Operation, Arterial Switch,Operation, Atrial Switch,Operation, Double-Switch,Operation, Jatene,Operation, Mustard,Operation, Rastelli,Operation, Senning,Operations, Arterial Switch,Operations, Atrial Switch,Operations, Double-Switch,Procedure, Arterial Switch,Procedure, Atrial Switch,Procedure, Double-Switch,Procedure, Jatene,Procedure, Mustard,Procedure, Rastelli,Procedure, Senning,Procedures, Arterial Switch,Procedures, Atrial Switch,Procedures, Double-Switch,Repair, Atrial Switch,Repair, Mustard,Repair, Rastelli,Repairs, Atrial Switch,Technique, Arterial Switch,Technique, Atrial Switch,Technique, Double-Switch,Technique, Jatene,Technique, Rastelli,Techniques, Arterial Switch,Techniques, Atrial Switch,Techniques, Double-Switch

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