TY - JOUR
T1 - Current status of cardiovascular surgery in Japan 2013 and 2014
T2 - A report based on the Japan Cardiovascular Surgery Database. 2: Congenital heart surgery
AU - Hirata, Yasutaka
AU - Hirahara, Norimichi
AU - Murakami, Arata
AU - Motomura, Noboru
AU - Miyata, Hiroaki
AU - Takamoto, Shinichi
N1 - Publisher Copyright:
© 2017, The Japanese Association for Thoracic Surgery.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Objectives: We analyzed the mortality and morbidity of congenital heart surgery in Japan 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 repair and ventricular septal defect repair were less than 1%, and the mortality rates of tetralogy of Fallot repair, complete atrioventricular septal defect repair, bidirectional Glenn, and total cavopulmonary connection were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection 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.
AB - Objectives: We analyzed the mortality and morbidity of congenital heart surgery in Japan 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 repair and ventricular septal defect repair were less than 1%, and the mortality rates of tetralogy of Fallot repair, complete atrioventricular septal defect repair, bidirectional Glenn, and total cavopulmonary connection were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection 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.
KW - Congenital heart surgery
KW - Japan Cardiovascular Surgery Database (JCVSD)
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U2 - 10.1007/s11748-017-0841-6
DO - 10.1007/s11748-017-0841-6
M3 - Review article
C2 - 29134535
AN - SCOPUS:85033568299
SN - 1863-6705
VL - 66
SP - 4
EP - 7
JO - General thoracic and cardiovascular surgery
JF - General thoracic and cardiovascular surgery
IS - 1
ER -