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

3. Coronary Artery Bypass Surgery

Aya Saito＊1,2	Norimichi Hirahara1,3	Noboru Motomura1,2
Hiroaki Miyata1,3	Shinichi Takamoto1,4

（the Japan Cardiovascular Surgery Database, the Japanese Society for Cardiovascular Surgery1, Tokyo, Japan, Department of Cardiovascular Surgery, Toho University Sakura Medical Center2, Chiba Japan, Department of Health Policy and Management, Keio University3, Tokyo, Japan, and Mitsui Memorial Hospital4, Tokyo, Japan）

Objective and Methods:Data on isolated coronary artery bypass grafting（CABG）performed in 2013 and 2014, and registered in the Japan Cardiovascular Surgery Database were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery（LAD). Results:Isolated CABG was performed off-pump in 54.7% of cases, and graft material for the LAD was left internal thoracic artery in 74.3% and right internal thoracic artery in 15.6%. Operative mortality was 2.0% in elective cases, 8.2% in emergency cases, and 3.0% overall. In elective cases, operative mortality was 1.1% for off-pump CABG compared with 3.0% for on-pump CABG. Conclusions:Clinical results of our isolated CABG was reasonable and acceptable.

 

Jpn. J. Cardiovasc. Surg. 46:195-198（2017）

Keywords：off-pump coronary artery bypass grafting;on-pump coronary artery bypass grafting