Evidence map›Paper›PMID 40309674›Full record

ArticleJTCVS open2025

National survey of coronary artery bypass grafting in patients with coronary artery lesions caused by Kawasaki disease in Japan from 2008 to 2019.

Etsuko Tsuda, Hiraku Kumamaru, Tetsuya Kitagawa, Naoko Kinukawa, Yoshihide Mitani, Noboru Motomura

Abstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Prognostic value of stress perfusion cardiac magnetic resonance imaging in Kawasaki disease with coronary artery aneurysms: A 10-year retrospective cohort study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Etsuko TsudaDepartment of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita-shi, Osaka, Japan.
Hiraku KumamaruJapan Cardiovascular Surgery Database Organization.
Tetsuya KitagawaDepartment of Cardiovascular Surgery, Shikoku Central Hospital of the Mutual Aid Association of Public School Teacher, Shikokuchuo, Ehime, Japan.
Naoko KinukawaJapan Cardiovascular Surgery Database Organization.
Yoshihide MitaniDepartment of Pediatrics, The University of Mie Graduate School of Medicine, Tsu-shi, Mie, Japan.
Noboru MotomuraJapan Cardiovascular Surgery Database Organization.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The study objective was to know how the results of patients who underwent coronary artery bypass grafting for coronary arterial lesions caused by Kawasaki disease have changed in the past half-century after the first report of Kawasaki disease. Methods: We investigated the national results of coronary artery bypass grafting in patients with Kawasaki disease who underwent the procedures between 2008 and 2019 from the Japan Cardiovascular Surgery Database Organization. The prevalence and outcome of patients with coronary artery bypass grafting were clarified. The factors that affected the condition upon discharge were analyzed. Furthermore, the outcomes of the patients in the late period after discharge were surveyed by questionnaires in 2021. Results: A total of 343 patients were identified. Coronary artery bypass grafting after Kawasaki disease has been performed in approximately 40 patients per year recently. There were 264 male patients (77.0%) and 79 female patients (23.0%). The median age at the time of the operation was 39 years (5th-95th percentile, 13-72). The 30-day-operative mortality was 0.9%. Of the 183 patients (53.8%) with the quwtionaires after discharge, 176 survived (96.2%), and 7 died (3.8%). The 10-year survival rate was 94% (95% CI, 87-97%) (n = 183). The 5-year survivals depended on the preoperative left ventricular ejection fraction, which was 72% (95% CI, 13-96) (n = 9) for the poor group (left ventricular ejection fraction <30%), 98% (95% CI, 87-100) (n = 104) for the preserved group (≥60%), and 94% (95% CI, 81-98) (n = 70) for the intermediate group (≥30% but <60%) ( Conclusions: A half-century after the first report of Kawasaki disease, the ages of the patients who undergo coronary artery bypass grafting in this population have changed from children to young adults. Although the preoperative left ventricular function affected the long-term outcome, the operative results were good.

Indexed as

acute myocardial infarctioncoronary artery bypass graftingKawasaki disease

Identifiers

PMID40309674
PMCPMC12039386

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.