Nakano Kiyoharu, Hirahara Norimichi, Motomura Noboru, Miyata Hiroaki, Takamoto Shinichi
Japan Cardiovascular Surgery Database, Tokyo, Japan.
Department of Cardiovascular Surgery, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
Gen Thorac Cardiovasc Surg. 2018 Jan;66(1):13-18. doi: 10.1007/s11748-017-0842-5. Epub 2017 Nov 13.
Data from the Japan cardiovascular surgery database from 2013 to 2014 were analyzed to demonstrate the mortality rate and choice of surgical procedures, especially concerning the selection of valve prosthesis for each valve position and patient age group, and the effects of preoperative complications on mortality and prosthetic valve selection. The proportion of each surgical procedure was compared for each patient age in the aortic, mitral, and tricuspid positions. The proportion of mechanical valve prostheses was 23.1, 40.5, and 11.4% in the aortic, mitral, and tricuspid positions, respectively, and was higher in hemodialysis than in non-hemodialysis patients. The operative mortality rate was 4.3, 11.7, 15.8, and 5.6% in all cases, hemodialysis patients, patients with liver dysfunction, and patients with atrial fibrillation and flutter, respectively, after Aaortic valve replacement, and 4.0, 14.4, 11.2, and 4.1%, respectively, in each group listed above after mitral valve surgery. These results clarify the current status of cardiac valvular surgery in Japan.
对日本心血管外科数据库2013年至2014年的数据进行分析，以展示死亡率和手术方式的选择，特别是关于每个瓣膜位置和患者年龄组的瓣膜假体选择，以及术前并发症对死亡率和人工瓣膜选择的影响。比较了主动脉、二尖瓣和三尖瓣位置各患者年龄的每种手术方式的比例。机械瓣膜假体的比例在主动脉、二尖瓣和三尖瓣位置分别为23.1%、40.5%和11.4%，血液透析患者中的比例高于非血液透析患者。在主动脉瓣置换术后，所有病例、血液透析患者、肝功能不全患者以及心房颤动和扑动患者的手术死亡率分别为4.3%、11.7%、15.8%和5.6%，在二尖瓣手术后，上述每组的手术死亡率分别为4.0%、14.4%、11.2%和4.1%。这些结果阐明了日本心脏瓣膜手术的现状。
