Early severe coronary artery disease and aortic coarctation in a child with familial hypercholesterolaemia
Dina Labib1, Haytham Soliman1, Kareem Said1
1Department of Cardiovascular Medicine, Cairo University, Giza, Egypt.
Abstract:
An 11-year-old boy presented with easy fatigability, multiple xanthomas, and absent pedal pulsations. Laboratory workup showed severe hypercholesterolaemia and non-invasive imaging revealed 'normally functioning' bicuspid aortic valve and tight aortic coarctation. Coronary angiography showed severe right coronary artery (RCA) stenosis. Medical treatment resulted in significant improvement of dyslipidaemia. We successfully performed balloon dilation and stenting of his coarctation, as well as percutaneous coronary intervention for RCA lesion.
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