Symptomatic bilateral carotid artery stenoses 7 years after coronary artery bypass surgery in a young patient with familial hypercholesterolemia.
We present a patient suffering from homozygous familial hypercholesterolemia, who developed coronary artery disease in the age of 15 treated with three vessels coronary artery bypass grafting (CABG) operation. 7 years after CABG surgery symptomatic bilateral carotid artery stenoses were observed. Both internal carotid arteries were stented. The combination of pharmacologic therapy with life-long LDL-apheresis is the current treatment of choice.
Department of Cardiovascular Surgery, Hacettepe University, Ankara, Turkey. mustok@hacettepe.edu.tr
M
M
Tok
M
M
Güvener
S
S
Cekirge
I
I
Paşaoglu
D000328:Adult; D015901:Angiography, Digital Subtraction; D000924:Anticholesteremic Agents / Q000627:therapeutic use; D001781:Blood Component Removal; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006938:Hyperlipoproteinemia Type II / Q000150:complications* / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome
D000924:Anticholesteremic Agents; D010975:Platelet Aggregation Inhibitors