Multiple coronary artery aneurysms combined with abdominal aortic aneurysm

Coronary artery aneurysm (CAA) is defined as coronary dilatation which exce eds the diameter of a normal adjacent segment or the diameter of the patien ts's largest coronary vessel by as much as 1.5 times. It is an uncommon pat hology with a frequency of 1-4% in routine autopsies or coronary angiograph ies. Atherosclerosis plays an important role in the development of CAA, and it may he a predominant cause in the majority of patients. However, the ti ming of surgical intervention and the treatment options for CAA are still c ontroversial. In this report, we present a patient who had multiple CAAs of all main coronary arteries and abdominal aortic aneurysm. Different treatm ent modalities and indications are also discussed.