Evidence map›Paper›PMID 42529313›Full record

ArticleCase reports in cardiology2026

Heart Transplantation in Nonoperable Multiple Giant Coronary Artery Aneurysms: A Case Report.

Raffaele Abete, Roberta Simona Cattaneo, Attilio Iacovoni, Claudia Vittori, Roberta Sebastiani, Ottavio Zucchetti, Francesco Moretti, Giuseppe Muscogiuri, Sandro Sironi, Amedeo Terzi and 1 more

Abstract read
In one paragraph

Article in Case reports in cardiology, 2026. 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

11 authors.

Raffaele AbeteDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0000-0001-9411-1809
Roberta Simona CattaneoDepartment of Cardiology, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0009-0003-6612-425X
Attilio IacovoniDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Claudia VittoriDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0009-0000-7750-5697
Roberta SebastianiDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Ottavio ZucchettiDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0000-0003-0564-7578
Francesco MorettiDivision of Invasive Cardiology, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0000-0002-3013-4195
Giuseppe MuscogiuriDepartment of Radiology, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0000-0003-4757-2420
Sandro SironiDepartment of Radiology, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Amedeo TerziDepartment of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Michele SenniDepartment of Cardiology, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery aneurysm (CAA) is an uncommon dilation of a coronary artery, with a prevalence of 0.3%-4.9% in patients undergoing coronary angiography. Giant CAAs, defined as dilations greater than four times the size of normal adjacent vessels or a diameter > 8 mm, are even rarer. We report a case of a 62-year-old man with chronic ischemic heart disease presenting with multiple giant CAAs. The patient had a history of myocardial infarction, obesity, dyslipidemia, and was an ex-smoker. Coronary angiography and cCTA revealed giant aneurysms in the right coronary and circumflex arteries, with extensive endoluminal thrombosis and compression of adjacent structures. The coronary anatomy was deemed unsuitable for surgical or percutaneous intervention; thus, the patient was listed and underwent orthotopic heart transplantation, without significant postoperative complications. This case highlights the complexity of giant CAAs management in adults, where conventional interventions are not feasible. The successful heart transplantation and favorable postoperative outcomes underscore the potential viability of this treatment. This case contributes to the limited literature on heart transplantation as a therapeutic option for nonoperable CAAs.

Indexed as

cardiac computed tomography angiographycoronary artery aneurysmheart transplantischemic cardiomyopathy

Identifiers

PMID42529313
PMCPMC13416754

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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.