Related Experiment Video
Updated: May 1, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
Redux valvular surgery with coronary artery bypass graft in familial hypercholesterolemia
Ziadi Jalel1, Mleyhi Sobhi1, Ben Omrane Skander1
1Department of Cardiovascular and Thoracic, Rabta Hospital, Medical University of Tunis, Tunis, Tunisia.
Insights
Familial hypercholesterolemia (FH) is a genetic disorder leading to high LDL cholesterol. This case highlights successful surgical intervention for FH complications in a young patient, including coronary artery bypass grafting.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Pediatric Cardiology
Background:
- Familial hypercholesterolemia (FH) is an inherited condition causing high LDL cholesterol.
- FH is linked to early heart disease and aortic valve issues, posing surgical risks.
Observation:
- A 12-year-old girl with FH underwent a Ross procedure for aortic stenosis.
- She later presented with acute coronary syndrome.
Findings:
- Coronary artery bypass grafting using saphenous veins was successfully performed.
- This intervention addressed the acute coronary syndrome in the FH patient.
Implications:
- Aggressive lipid-lowering therapy and LDL apheresis may aid surgical management of FH complications.
- Early and comprehensive treatment is crucial for managing FH patients with cardiovascular disease.
Abstract:
Familial hypercholesterolemia (FH) is a dominantly inherited disorder caused by mutation at the locus for the low-density lipoprotein (LDL) receptor and is frequently associated with premature coronary artery disease and aortic valve involvement. The surgical treatment of these complications is accompanied by a high degree of risk, even in skillful hands. An intensive cholesterol-lowering therapy and LDL aphaeresis in association with surgery may be useful. The case of a 12-year-old girl, with a medical history of familial hypercholesterolemia is reported here, operated two years previously for valvular aortic stenosis; Ross intervention was done. She was readmitted for acute coronary syndrome. Three coronary artery bypass grafting was performed with saphenous veins with positive results.
More Related Videos
10:56A Familial Hypercholesterolemia Human Liver Chimeric Mouse Model Using Induced Pluripotent Stem Cell-derived Hepatocytes
Published on: September 15, 2018
13:10Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
Published on: April 24, 2017
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Coronary Artery Disease I: Introduction
Coronary Artery Disease II: Pathophysiology
Mitral Stenosis III: Medical Management
Coronary Artery Disease V: Interprofessional Care
Atherosclerosis III: Management