Despite the rapid development of medical treatment, there are still risks involved in curing congenital coronary aneurysms. This is because congenital coronary artery aneurysms can only be completely cured by surgery, and conservative methods are generally difficult to cure congenital coronary artery aneurysms. Therefore, it is important for parents to prepare their children for surgery if they have a congenital coronary aneurysm. What is the most effective treatment for congenital coronary aneurysm? Congenital coronary aneurysms, whether simple or secondary to a coronary artery fistula, require surgery once diagnosed. For congenital coronary artery aneurysms caused by Kawasaki disease, surgery is usually not required and treatment with aspirin and gamma-globulin has been shown to be effective. Surgery for congenital coronary artery aneurysms requires atherectomy or ligation of both ends of the aneurysm under hypothermic extracorporeal circulation, and bypass with the saphenous vein or internal mammary artery. For acute coronary thrombosis or myocardial infarction, thrombolytic therapy can be performed by intravenous or intracoronary injection of streptokinase or urokinase to dissolve the thrombus. If the effect of thrombolytic therapy is unsatisfactory, surgical treatment is still required. Prevention of congenital coronary aneurysms should be carried out by avoiding viral infections in the early stages of pregnancy, reducing the impact of adverse physical and chemical factors on the uterus, and performing prenatal genetic or chromosomal examination if necessary. Congenital coronary artery aneurysms require a high degree of surgical precision, so that the child can be cured more safely. When parents choose a hospital for their child, they need to go to a regular major hospital for treatment so that the risk of surgery can be minimized. For more information about congenital coronary artery aneurysms, you can also seek help from a clinician if you have questions.