Introduction
Coronary artery aneurysm(CAA)is defined as a local dilatation in the
coronary artery which is 1.5 times greater than the adjacent normal
segment, with the prevalence of 0.3-5% in patients undergoing coronary
angiography[1]. The giant CAA is defined as CAAs
over 20mm with an incidence of
0.02% to 0.2% in cardiac
surgical population [2]. Anomalous aortic origin
of a coronary artery (AAOCA) is a rare congenital abnormality of the
origin or course of a coronary artery that arises from the aorta with
the prevalence of 0.1%-1% in both the adult and pediatric
populations[3]. However, the optimal treatment of
CAA and AAOCA based on detailed information of coronary
arteries[1, 3]. Multimodality imaging, including
echocardiography, coronary artery angiography, coronary computed
tomographic angiography (CCTA), cardiac magnetic resonance imaging
(CMR), has been suggested in diagnosing CAA and
AAOCA[4]. We report a rare case of multiple giant
CAAs combined with anomalous aortic origin of left coronary
artery,presenting the vital role of multimodality imaging in diagnosing
and developing optimal individualized treatment strategies.