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

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Abstract

Objectives

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.

Conclusion

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.

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Abbreviations

VSD:

Ventricular septal defect

ASD:

Atrial septal defect

PDA:

Patent ductus arteriosus

TCPC:

Total cavopulmonary connection

TOF:

Tetralogy of Fallot

CoA:

Coarctation of the aorta

TAPVC:

Total anomalous pulmonary venous connection

AVSD:

Atrioventricular septal defect

PA:

Pulmonary artery

PAVSD:

Pulmonary atresia and ventricular septal defect

References

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Author information

Authors and Affiliations

  1. Department of Cardiac Surgery, The University of Tokyo School of Medicine, Tokyo, Japan

    Yasutaka Hirata

  2. Department of Health Policy and Management, Keio University, Tokyo, Japan

    Norimichi Hirahara, Hiroaki Miyata & Shinichi Takamoto

  3. Kanazawa Cardiovascular Hospital, Kanazawa, Japan

    Arata Murakami

  4. Department of Cardiovascular Surgery, Toho University Sakura Medical Center, Sakura, Japan

    Noboru Motomura

  5. JCVSD C/O The Japan Society for Cardiovascular Surgery, 2-26-9 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan

    Yasutaka Hirata

Authors
  1. Yasutaka Hirata
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  2. Norimichi Hirahara
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  3. Arata Murakami
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  4. Noboru Motomura
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  5. Hiroaki Miyata
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  6. Shinichi Takamoto
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Corresponding author

Correspondence to Yasutaka Hirata.

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Hirata, Y., Hirahara, N., Murakami, A. et al. Current status of cardiovascular surgery in Japan, 2015 and 2016: a report based on the Japan Cardiovascular Surgery Database. 1—congenital heart surgery. Gen Thorac Cardiovasc Surg 67, 731–735 (2019). https://doi.org/10.1007/s11748-019-01160-0

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  • DOI: https://doi.org/10.1007/s11748-019-01160-0

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