Coronary Artery Surgery 2004 Coronary Artery Surgery Results

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Coronary Artery Surgery 2004 Coronary Artery Surgery Results 2004 The Japanese Association for Coronary

Coronary Artery Surgery 2004 Coronary Artery Surgery Results 2004 The Japanese Association for Coronary Artery Surgery Yukiyasu Sezai

Coronary Artery Surgery 2004 CABG in 2004 Total CABG Isolated CABG : 13, 633

Coronary Artery Surgery 2004 CABG in 2004 Total CABG Isolated CABG : 13, 633 : 11, 939 Initial elective CABG : 10, 116 Off Pump CABG : 6, 276 On Pump CABG : 3, 840

Coronary Artery Surgery 2004 Off pump CABG vs on pump CABG

Coronary Artery Surgery 2004 Off pump CABG vs on pump CABG

Coronary Artery Surgery 2004 Initial elective CABG On pump (arrest) On pump (beating) 3,

Coronary Artery Surgery 2004 Initial elective CABG On pump (arrest) On pump (beating) 3, 392 (33. 5%) 448 ( 4. 4%) Off pump (total) 6, 276 (62. 0%) Off pump (complete) 6, 039 (59. 6%) Conversion (off → on) 237 ( 2. 3%) 3. 8% Total 10, 116

Coronary Artery Surgery 2004 Mortality of initial elective CABG On pump (arrest) 0. 97%

Coronary Artery Surgery 2004 Mortality of initial elective CABG On pump (arrest) 0. 97% On pump (beating) 2. 46% Off pump (total) 0. 97% Off pump (complete) 0. 88% Conversion (off → on) 3. 38% Total 1. 04%

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (10, 116 initial

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (10, 116 initial elective CABG : mortality 1. 04%)

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (3, 392 on

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (3, 392 on pump CABG (arrest): mortality 0. 97%)

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (448 on pump

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (448 on pump CABG (beating): mortality 2. 46%)

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (6, 039 off

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (6, 039 off pump CABG (complete) : mortality 0. 88%)

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (237 conversion CABG

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (237 conversion CABG : mortality 3. 38%)

Coronary Artery Surgery 2004 Number of grafts in initial elective CABG (mean number of

Coronary Artery Surgery 2004 Number of grafts in initial elective CABG (mean number of grafts : 2. 81) Arrest 3. 10 Beating 2. 86 Conversion 2. 74 Off pump 2. 64

Coronary Artery Surgery 2004 Off pump CABG vs on-pump CABG

Coronary Artery Surgery 2004 Off pump CABG vs on-pump CABG

Coronary Artery Surgery 2004 CABG according to number of diseased vessels

Coronary Artery Surgery 2004 CABG according to number of diseased vessels

Coronary Artery Surgery 2004 Operative mortality by number of diseased vessels (Off pump CABG

Coronary Artery Surgery 2004 Operative mortality by number of diseased vessels (Off pump CABG vs On-pump CABG) Off pump (total) On pump (cardiac arrest)

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (237 conversion CABG

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (237 conversion CABG : mortality 3. 38%)

Coronary Artery Surgery 2004 Conversion (from off pump to on pump)

Coronary Artery Surgery 2004 Conversion (from off pump to on pump)

Coronary Artery Surgery 2004 On pump CABG vs off pump CABG RCA LAD LCX

Coronary Artery Surgery 2004 On pump CABG vs off pump CABG RCA LAD LCX

Coronary Artery Surgery 2004 Conversion (from off pump to on pump) Conversion RCA(+) 3,

Coronary Artery Surgery 2004 Conversion (from off pump to on pump) Conversion RCA(+) 3, 484 4. 3% LAD(+) 6, 134 3. 5% LCX(+) 3, 966 4. 1% RCA(-) 2, 792 3. 1% 142 14. 8% LCX(-) 2, 310 3. 2% LAD(-) 0 50 100

Coronary Artery Surgery 2004 Age distribution according to gender (initial elective CABG) (0. 88%

Coronary Artery Surgery 2004 Age distribution according to gender (initial elective CABG) (0. 88% last year) (1. 58% last year)

Coronary Artery Surgery 2004 Mortality according to age (initial elective CABG)

Coronary Artery Surgery 2004 Mortality according to age (initial elective CABG)

Coronary Artery Surgery 2004 Changes in mortality of CABG

Coronary Artery Surgery 2004 Changes in mortality of CABG

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (1, 823 CABG

Coronary Artery Surgery 2004 Outcome according to number of diseased vessels (1, 823 CABG except initial elective CABG : 7. 02%)

Coronary Artery Surgery 2004 Outcome according to the operation method (1, 823 CABG except

Coronary Artery Surgery 2004 Outcome according to the operation method (1, 823 CABG except initial elective CABG : 7. 02%)

Coronary Artery Surgery 2004 Graft selection LITA RITA 10, 971 (37. 5%) Others 4,

Coronary Artery Surgery 2004 Graft selection LITA RITA 10, 971 (37. 5%) Others 4, 248 (14. 5%) RGEA SVG 2, 676 ( 9. 1%) Radiala a 4316 (14. 7%) SVG Others RGEA LITA RITA 7, 036 (24. 0%) 31 ( 0. 1%)

Coronary Artery Surgery 2004 Case Patient: 70 y. o. male Diagnosis: Effort angina C

Coronary Artery Surgery 2004 Case Patient: 70 y. o. male Diagnosis: Effort angina C Apump G: RCA( 1) 90%stenosis Off CABG 154 LAD( 6) 90%stenosis LCX(11) 90%stenosis On pump (arrest) 107 LVEF: 0. 7 On pump (beating) 6 CABG(3) RCA(4 PD), LAD(7), LCX(12)

Coronary Artery Surgery 2004 Off pump CABG (154 institutions) RCA (4 PD) LAD (7)(7)

Coronary Artery Surgery 2004 Off pump CABG (154 institutions) RCA (4 PD) LAD (7)(7) OM(12) RGEA 83 LITA RITA LITA 95 LITA SVG 39 RITA 57 Radial 23 RGEA LITA Radial 58 30 50 RITA 20 26 7 RITA 34 RITARGEA 8 LITA Radial SVG LITARadial 1 RITA RGEA 14 5 LITA

Coronary Artery Surgery 2004 On pump (arrest) CABG (107 institutions) RCA (4 PD) LAD

Coronary Artery Surgery 2004 On pump (arrest) CABG (107 institutions) RCA (4 PD) LAD (7)(7) OM(12) SVGSVG 60 LITA 91 SVGSVG RGEA 25 RITA 16 Radial 16 SVG RITA Radial 6 LITA Radial 37 27 34 Radial 19 LITA RITA LITA 10 17 RITA LITA RITA 6 19

Coronary Artery Surgery 2004 On pump (beating) CABG (6 institutions) RCA (4 PD) LAD

Coronary Artery Surgery 2004 On pump (beating) CABG (6 institutions) RCA (4 PD) LAD (7) OM(12) Radial 3 2 SVG 2 1 RITA 1 SVG 3 RGEA Radial LITA 6

Coronary Artery Surgery 2004 Changes in mortality for ventricular septal perforation Death 45 Mortality

Coronary Artery Surgery 2004 Changes in mortality for ventricular septal perforation Death 45 Mortality 24. 7% Survival 137

Coronary Artery Surgery 2004 Ventricular septal perforation Mortality 24. 7% CABG(-) Mortality 23. 4%

Coronary Artery Surgery 2004 Ventricular septal perforation Mortality 24. 7% CABG(-) Mortality 23. 4% 111(26) Total (death) 71(19) CABG(+) Mortality 26. 8%

Coronary Artery Surgery 2004 Operative method for anterior VSP Mortality 23. 4% Patch closure

Coronary Artery Surgery 2004 Operative method for anterior VSP Mortality 23. 4% Patch closure (Dagget) Mortality 17. 4% Total (death) 23(4) 105(26) Infarction exclusion (Komeda-David) Mortality 24. 8%

Coronary Artery Surgery 2004 Operative method for posterior VSP Mortality 27. 8% Patch closure

Coronary Artery Surgery 2004 Operative method for posterior VSP Mortality 27. 8% Patch closure (Dagget) Total (death) Mortality 16. 7% 30(5) 24(10) Infarction exclusion (Komeda-David) Mortality 41. 7%

Coronary Artery Surgery 2004 Changes in mortality for LV papillary muscle rupture Death 10

Coronary Artery Surgery 2004 Changes in mortality for LV papillary muscle rupture Death 10 Survival 51 Mortality 16. 4%

Coronary Artery Surgery 2004 Left ventricular papillary muscle rupture Mortality 16. 4% CABG(-) Mortality

Coronary Artery Surgery 2004 Left ventricular papillary muscle rupture Mortality 16. 4% CABG(-) Mortality 28. 6% 14(4) Total (death) 47(6) CABG(+) Mortality 12. 8%

Coronary Artery Surgery 2004 Changes in mortality for cardiac rupture Death 30 Mortality 31.

Coronary Artery Surgery 2004 Changes in mortality for cardiac rupture Death 30 Mortality 31. 3% Survival 66

Coronary Artery Surgery 2004 Cardiac rupture Mortality 31. 3% CABG(+) Mortality 29. 4% 17(5)

Coronary Artery Surgery 2004 Cardiac rupture Mortality 31. 3% CABG(+) Mortality 29. 4% 17(5) 79(25) CABG(-) Mortality 31. 7% Total (death)

Coronary Artery Surgery 2004 Left ventricular aneurysm & ischemic MR Ischemic MR LV aneurysm

Coronary Artery Surgery 2004 Left ventricular aneurysm & ischemic MR Ischemic MR LV aneurysm 202(4) 77(8) 184(14)

Coronary Artery Surgery 2004 Changes in mortality for left ventricular aneurysm Death 12 Mortality

Coronary Artery Surgery 2004 Changes in mortality for left ventricular aneurysm Death 12 Mortality 4. 3% Survival 267

Coronary Artery Surgery 2004 Left ventricular aneurysm Mortality 2. 0% CABG(-) Mortality 4. 9%

Coronary Artery Surgery 2004 Left ventricular aneurysm Mortality 2. 0% CABG(-) Mortality 4. 9% Total (death) 41(2) 161(2) CABG(+) Mortality 1. 2%

Coronary Artery Surgery 2004 Ischemic mitral regurgitation Mortality 7. 6% CABG(-) Mortality 0. 0%

Coronary Artery Surgery 2004 Ischemic mitral regurgitation Mortality 7. 6% CABG(-) Mortality 0. 0% 2(0) Total (death) 182(14) CABG(+) Mortality 7. 7%

Coronary Artery Surgery 2004 LV aneurysm & ischemic MR Mortality 10. 4% CABG(-) Mortality

Coronary Artery Surgery 2004 LV aneurysm & ischemic MR Mortality 10. 4% CABG(-) Mortality 10. 0% Total (death) 10(1) 67(7) CABG(+) Mortality 10. 5%

Coronary Artery Surgery 2004 ご協力有り難うございました

Coronary Artery Surgery 2004 ご協力有り難うございました