ArticleJACC. Case reports2025
Conservative Management of Giant Aneurysm of the Left Main to Left Circumflex Arteries.
Article in JACC. 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.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient.Frontiers in cardiovascular medicine · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronary artery aneurysm (CAA) is a rare congenital or acquired coronary malformation, associated with coronary artery fistula (CAF) in approximately 15% of cases. CAA is often asymptomatic. CASE SUMMARY: We report the case of a 60-year-old woman diagnosed in 2017 with a 15-mm large giant left main to left circumflex CAA. In 2024, she presented with progressive dyspnea. Multimodality imaging revealed severe mitral valve regurgitation and giant CAA associated with a distal CAF. After comprehensive evaluation, the heart team opted for mitral valve surgery and conservative CAA management. After 9-month follow-up, she remains uneventful. DISCUSSION: Management of giant CAA is controversial. Surgery remains the gold standard treatment, yet particularly challenging. It is mainly recommended for symptomatic patients, with evidence of ischemia or a significant left-to-right shunt. TAKE-HOME MESSAGES: Conservative therapy remains a valuable option in asymptomatic cases, provided that close follow-up is ensured. Multimodal imaging is crucial for diagnosis, management, and surveillance.
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