Evidence map›Paper›PMID 40104000›Full record

ArticleJournal of surgical case reports2025

A rare case of successful staged surgery for giant coronary artery aneurysm, multiple artery aneurysms, and coronary-to-pulmonary artery fistula.

Tadashi Kamio, Manabu Kamio, Takashi Kamio

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

3 authors.

Tadashi KamioDepartment of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, 1-847 Amanumacho, Omiya-ku, Saitama 330-8503, Japan.ORCID https://orcid.org/0000-0002-8987-0103
Manabu KamioDepartment of General Medicine, Yokosuka Uwamachi Hospital, 2-36 Uwamachi, Yokosuka, Kanagawa 238-8567, Japan.
Takashi KamioDepartment of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo 102-8159, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large coronary artery aneurysms (CAAs) with multiple arterial involvements are rare, and complications like coronary artery fistulae are extremely uncommon. Managing such cases presents a significant challenge. A 75-year-old female presented with a left inguinal mass and palpitations. Computed tomography revealed an abdominal aortic aneurysm and a left common iliac artery aneurysm. Coronary angiography identified a giant CAA and a coronary-to-pulmonary artery fistula. She underwent a two-stage surgical approach: first, an aortobiiliac Y-graft interposition, followed by open-heart surgery for aneurysmectomy and ligation of the pulmonary artery fistula 4 months later. Her postoperative course was uneventful, and she remained well at the 1-year follow-up. This case shows that prioritizing the aneurysm with the highest rupture risk, followed by staged treatment of CAAs, can lead to successful outcomes without major complications.

Indexed as

coronary artery aneurysmcoronary artery fistulapulmonary artery fistula

Identifiers

PMID40104000
PMCPMC11915844

What OpenQuestion holds

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Registered trials

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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.