ABSTRACT Heart transplantation is the gold standard treatment for
patients with end-stage heart failure. The limited availability of
organs has led to the expansion of the donor criteria by introducing the
use of marginal donors. Although the use of marginal donors has reduced
waiting lists, the results are worse than with standard donors. For this
reason, the use of marginal donors in clinical practice is still
controversial. We describe two cases of heart transplantation from
marginal donors with pre-transplant angiography evidence of coronary
stenosis and normal ventricular function.