Japanese Journal of Cardiovascular Surgery Vol49,No.4

Current Status of Cardiovascular Surgery in Japan:A Report Based on the Japan Cardiovascular Surgery Database in 2017, 2018. 1. Congenital Heart Surgery
Yasutaka Hirata*1 Norimichi Hirahara2 Arata Murakami3
Noboru Motomura4 Hiroaki Miyata2 Shinichi Takamoto2

(Department of Cardiac Surgery, The University of Tokyo School of Medicine1, Tokyo, Japan, Department of Health Policy and Management, School of Medicine, Keio University2, Tokyo, Japan, Kanazawa Cardiovascular Hospital3, Kanazawa, Japan, and Department of Cardiovascular Surgery, Toho University Sakura Medical Center4, Sakura, Japan)

Objectives:We analyzed the mortality and morbidity of congenital heart surgery in Japan by using Japan Cardiovascular Surgery Database(JCVSD). Methods:The congenital heart surgery performed between January 2017 to December 2018 were obtained from JCVSD. From the data obtained, the most frequent twenty procedures were selected, and the mortalities and major morbidities were analyzed. In addition, all the procedures were classified into STAT Mortality Categories and mortalities in each category were also analyzed. Results:The mortality of ASD repair and VSD repair were 0% and 0.2% respectively. The mortality of TOF repair, complete AVSD repair, Rastelli operation, CoA complex repair, bidirectional Glenn, TCPC were 2-3%. The mortality of systemic to pulmonary shunt was 4.9%, and the mortality of TAPVC repair and Norwood procedure were 11.1% and 15.7% respectively and not different from the results of 2015-2016. The mortalities according to the STAT categories 1-5 were 0.3%, 2.7%, 2.9%, 5.9% and 15.5% respectively and comparable to those of STS database(2013-2016). Conclusion:The analysis of the JCVSD-congenital data revealed the mortality rate of major surgical procedures for congenital heart disease performed in Japan in 2017-2018, the frequency of complications, and the mortality rate by STAT Mortality Categories. We believe that these statistics will play an important role as a basis for trends in Japan and for comparison of results with other countries.


Jpn. J. Cardiovasc. Surg. 49:151-154(2020)

Keywords:Japan Cardiovascular Surgery Database;JCVSD;congenital heart surgery

Copyright ©2020 By Japanese Society for Cardiovascular Surgery All rights reserved.