{"id":268,"date":"2025-12-27T04:29:25","date_gmt":"2025-12-27T04:29:25","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=268"},"modified":"2026-04-11T03:56:05","modified_gmt":"2026-04-11T03:56:05","slug":"cardiovascular-center","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiovascular-center\/","title":{"rendered":"Cardiovascular Surgery"},"content":{"rendered":"<p><!-- ============================================================\n     Cardiovascular Center\n     URL: \/en\/departments\/cardiovascular-center\/\n     Target: A (overseas) + B (resident foreigners)\n     Last updated: 2026\n     ============================================================ --><\/p>\n<p class=\"hero-sub\">Advanced cardiovascular surgery in Japan \u2014 fast access, no waiting list, and 24\/7 emergency care.<\/p>\n<p><!-- \u2500\u2500 Key Numbers \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">2023\u20132024 Procedural Volume<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>734<\/strong> total cardiovascular surgeries<\/li>\n<li><strong>310<\/strong> open-heart surgeries<\/li>\n<li><strong>94<\/strong> isolated CABG \u2014 off-pump rate <strong>83%<\/strong><\/li>\n<li><strong>40<\/strong> robotic MICS (fully endoscopic)<\/li>\n<li><strong>65<\/strong> acute aortic dissections (Stanford type A, all emergency cases)<\/li>\n<li><strong>97<\/strong> endovascular aortic procedures (TEVAR + EVAR)<\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n        <a href=\"\/en\/research\/clinical-research-outcomes\/cardiovascular\/\"><br \/>\n          View full clinical outcomes \u2192<br \/>\n        <\/a>\n      <\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">What this means for you<\/h3>\n<ul class=\"dept-when__list\">\n<li>No waiting list \u2014 treatment can begin within one week<\/li>\n<li>Integrated care by a single team across surgical and catheter-based treatment<\/li>\n<li>24\/7 emergency response for acute cardiovascular conditions<\/li>\n<li>Treatment plans are clarified at an early stage<\/li>\n<li>Second opinions are available for complex cases<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- \u2500\u2500 About Us \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<h2>About Us<\/h2>\n<div>\n<p>We provide surgical care across the full spectrum of cardiovascular disease \u2014 from coronary artery disease and valvular heart disease to aortic conditions requiring emergency intervention.<\/p>\n<p>Our team performs <strong>open-heart surgery, endovascular aortic repair (TEVAR \/ EVAR), and robotic minimally invasive cardiac surgery (MICS)<\/strong>.<br \/>\n      When both catheter-based and surgical options are appropriate, treatment planning is discussed with the patient based on clinical findings, risk, and individual preference.<\/p>\n<p>Cardiovascular surgery is available <strong>24\/7<\/strong>, with a firm policy of not turning patients away.<\/p>\n<\/p><\/div>\n<\/section>\n<p><!-- \u2500\u2500 Clinical Leadership \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section dept-leadership\">\n<h2>Clinical Leadership<\/h2>\n<div class=\"profile-header\">\n  <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/2026\/03\/kuroyanagi.jpg\"\n       alt=\"Satoshi Kuroyanagi M.D. Ph.D. \u2014 cardiovascular surgery Japan, Kishiwada Tokushukai Hospital\"\n       class=\"profile-photo\"><\/p>\n<div class=\"profile-title\">\n<h2>Satoshi Kuroyanagi, M.D., Ph.D.<\/h2>\n<p class=\"small-muted\">President &amp; Senior Cardiovascular Surgeon<br \/>Kishiwada Tokushukai Hospital<\/p>\n<\/p><\/div>\n<\/div>\n<p>Cardiovascular care at this hospital is led by Dr. Kuroyanagi, who serves as both President and senior cardiovascular surgeon.<br \/>\n    He oversees clinical decision-making from initial evaluation through treatment and follow-up, ensuring clear medical responsibility throughout care.<\/p>\n<p><a href=\"\/en\/about\/leadership\/satoshi-kuroyanagi\/\">Full profile \u2192<\/a><\/p>\n<\/section>\n<p><!-- \u2500\u2500 Services \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<h2>Services<\/h2>\n<div class=\"dept-scope\">\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/heart-valve-disease\/\" class=\"dept-scope-link\">Heart valve disease (including TAVI)<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/coronary-artery-disease\/\" class=\"dept-scope-link\">Coronary artery disease (including CABG)<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/aortic-disease\/\" class=\"dept-scope-link\">Aortic aneurysm and aortic dissection<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/peripheral-artery-disease\/\" class=\"dept-scope-link\">Peripheral artery disease<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/mitral-regurgitation\/\" class=\"dept-scope-link\">Mitral regurgitation<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/infective-endocarditis\/\" class=\"dept-scope-link\">Infective endocarditis<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/cardiovascular-center\/ischemic-cardiomyopathy\/\" class=\"dept-scope-link\">Ischemic cardiomyopathy<\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/research\/clinical-research-outcomes\/cardiovascular\/\" class=\"dept-scope-link\">Clinical outcomes and procedural volume<\/a>\n    <\/div>\n<\/p><\/div>\n<div class=\"dept-services-note\">Appointments are generally required. A referral letter is recommended.<\/div>\n<\/section>\n<p><!-- \u2500\u2500 Advanced Procedures \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<h2>Advanced Procedures<\/h2>\n<div class=\"ofv-row\">\n<div class=\"ofv-label\"><strong>Robotic MICS<\/strong><\/div>\n<div class=\"ofv-body\">\n      Fully endoscopic minimally invasive cardiac surgery performed using the da Vinci system, without sternotomy. A total of 40 cases were performed in 2023. This procedure is available as a self-funded option.\n    <\/div>\n<\/p><\/div>\n<div class=\"ofv-row\">\n<div class=\"ofv-label\"><strong>Open-heart surgery<\/strong><\/div>\n<div class=\"ofv-body\">\n      Includes CABG, valve repair and replacement, and complex aortic root surgery. The off-pump CABG rate was 83% in 2023. A total of 128 open-heart procedures were performed on an emergency or urgent basis in 2023.\n    <\/div>\n<\/p><\/div>\n<div class=\"ofv-row\">\n<div class=\"ofv-label\"><strong>Emergency aortic surgery<\/strong><\/div>\n<div class=\"ofv-body\">\n      A total of 65 acute Stanford type A aortic dissection cases were treated in 2023, all as emergency cases. Surgical care is available 24\/7 for rapid response.\n    <\/div>\n<\/p><\/div>\n<div class=\"ofv-row\">\n<div class=\"ofv-label\"><strong>TEVAR \/ EVAR<\/strong><\/div>\n<div class=\"ofv-body\">\n      Endovascular aortic repair for thoracic and abdominal aortic aneurysm and aortic dissection. A total of 97 procedures were performed in 2023, including 50 TEVAR and 47 EVAR cases.\n    <\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- \u2500\u2500 When to Visit \/ When to call ER \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<h2>When to Visit \/ When to Call ER<\/h2>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Visit this department if:<\/h3>\n<ul class=\"dept-when__list\">\n<li>You have been advised that you may need treatment for a heart or vascular condition<\/li>\n<li>You have ongoing chest discomfort, shortness of breath with exertion, or leg pain when walking<\/li>\n<li>You were referred for further evaluation, catheter-based treatment, or surgery<\/li>\n<li>You would like a second opinion about cardiovascular treatment<\/li>\n<li>You are considering treatment options in Japan due to limited access to timely care in your home country<\/li>\n<\/ul><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">Call ER immediately if:<\/h3>\n<ul class=\"dept-when__list\">\n<li>Sudden or severe chest pain or pressure<\/li>\n<li>Severe shortness of breath at rest<\/li>\n<li>Fainting, loss of consciousness, or severe weakness<\/li>\n<li>Sudden severe back pain (possible aortic emergency)<\/li>\n<li>Sudden coldness, numbness, or severe pain in an arm or leg<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Emergency Room open 24\/7. Walk-in patients are accepted for emergency care.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- \u2500\u2500 Treatment Flow \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\">\n<h2>Treatment Flow<\/h2>\n<ol class=\"dept-timeline\">\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">1<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Initial consultation and evaluation<\/h3>\n<p>We review your medical history, referral information, and imaging studies. Additional tests are arranged as needed. For overseas patients, pre-treatment assessment may be arranged in advance when appropriate.<\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">2<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Team-based treatment planning<\/h3>\n<p>Both catheter-based and surgical options are considered from the first evaluation. We recommend the most appropriate treatment based on the patient\u2019s condition, risk, and overall clinical needs.<\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">3<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Treatment and hospitalisation<\/h3>\n<p>Once the treatment plan is agreed, the procedure is scheduled according to clinical urgency and readiness. Depending on the condition, this may include endovascular procedures, open surgery, or a combination of both.<\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">4<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Post-treatment care and follow-up<\/h3>\n<p>We provide post-treatment care and explain follow-up plans, including options for continued care after returning home. Medical records and related documents can be prepared as needed to support ongoing care.<\/p>\n<\/p><\/div>\n<\/li>\n<\/ol>\n<\/section>\n<p><!-- \u2500\u2500 Contact \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 --><\/p>\n<section class=\"op-section\" id=\"contact\">\n<h2>Contact<\/h2>\n<div class=\"contact-cards\">\n<p>    <!-- Overseas patients --><\/p>\n<div class=\"contact-card contact-card--jmhc\">\n<div class=\"contact-card__eyebrow\">Patients from overseas<\/div>\n<h3 class=\"contact-card__title\">Contact us from overseas<\/h3>\n<p class=\"contact-card__lead\">\n        Start with a brief message to our International Medical Support Department.<br \/>\n        Please include your diagnosis, current condition, and the type of consultation or treatment you are seeking.<br \/>\n        We will review your case and guide you through<br \/>\n        the next steps.\n      <\/p>\n<ul class=\"ls-contact-icons\" style=\"margin-top:16px;\">\n<li>\n          <a href=\"https:\/\/lin.ee\/GRXNFOG\" class=\"ls-contact-icon ls-contact-icon--line\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-brands fa-line\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">LINE<\/span><br \/>\n          <\/a>\n        <\/li>\n<li>\n          <a href=\"https:\/\/wa.me\/818070945976\" class=\"ls-contact-icon ls-contact-icon--whatsapp\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-brands fa-whatsapp\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">WhatsApp<\/span><br \/>\n          <\/a>\n        <\/li>\n<li>\n          <a href=\"https:\/\/kishiwada.tokushukai.or.jp\/en\/contact.html\" class=\"ls-contact-icon ls-contact-icon--mail\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-regular fa-envelope\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">Online contact form<\/span><br \/>\n          <\/a>\n        <\/li>\n<\/ul>\n<p style=\"margin-top:14px;font-size:.92rem;\">\n        <a href=\"\/en\/international-treatment\/overview\/\">International Treatment Services \u2014 full details \u2192<\/a>\n      <\/p>\n<\/p><\/div>\n<p>    <!-- Living in Japan --><\/p><\/div>\n<\/section>\n<p><!-- Schema.org --><br \/>\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"WebPage\",\n      \"@id\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiovascular-center\/#webpage\",\n      \"url\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiovascular-center\/\",\n      \"name\": \"Cardiovascular Center | Kishiwada Tokushukai Hospital\",\n      \"description\": \"Comprehensive cardiovascular care in Osaka, Japan. 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