Prescheduled surgeries are per formed three days each week along with emergency surgeries. The department consists of three teams specializing in different areas: adult heart disease (ischemic heat disease, valvular heart disease, arrhythmia disorders, severe heart failure), aortic disease (thoracic aneurysm, aortic dissection, etc.); and congenital heart disease. Outpatient services are provided every week day.

Treatment plans are determined at clinical conferences based on detailed examination and discussion. Joint conferences are also held regularly with the Department of Cardiovascular Medicine and/or the Department of Pediatrics to discuss cases referred by other institutions.

In our department above 90% of patients requiring coronary-artery bypass surgery undergo off-pump coronary artery bypass (OPCAB) surgery. In almost all patients with mitral insufficiency, valvuloplasty is performed. The Maze procedure is also frequently performed to treat arterial fibrillation. Our department is one of the departments in Japan where valve-sparing aortic root replacement is most frequently performed to treat annuloaortic ectasia. Graft replacement for aortic arch and thoracoabdominal aortic aneurysm that protects the brain and spinal cord are also performed in many patients. Using these procedures, highly successful surgical results have been achieved in patients aged 75 and older as well as in serious cases with complications. As for congenital heart disease, many surgical procedures such as the Norwood procedure, the Jatene procedure, and the Fontan procedure have been performed successfully for complex heart malformations. Minimally invasive surgery that takes appearance into consideration and surgery without blood transfusion are also performed. Our department has been approved as a heart transplant facility and has performed heart transplants for 237 patients (222 in Japan and 15 at overseas facilities) as well as ventricular assist device (VAD) surgery. We have the most successful VAD implantation record in Japan.

Angina pectoris, myocardial infarction, infective endocarditis, valvular disorder, atrial fibrillation, cardiac tumor, severe heart failure (cardiomyopathy), aortic aneurysm, aortic dissection, congenital heart malformation (atrial septal defect, ventricular septal defect, tetralogy of Fallot, and complex hear malformation such as single ventricle and hypoplastic left heart syndrome).

(January to December, 2014)