Early severe coronary artery disease and aortic coarctation in a child with familial hypercholesterolaemia

Dina Labib; Haytham Soliman; Kareem Said; Khaled Sorour

doi:10.1136/bcr-2016-216147

Early severe coronary artery disease and aortic coarctation in a child with familial hypercholesterolaemia

BMJ Case Rep. 2016 Nov 30:2016:bcr2016216147. doi: 10.1136/bcr-2016-216147.

Authors

Dina Labib¹, Haytham Soliman¹, Kareem Said¹, Khaled Sorour¹

Affiliation

¹ Department 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.

2016 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Aortic Coarctation / complications*
Aortic Coarctation / therapy
Child
Coronary Angiography
Coronary Stenosis / etiology*
Coronary Stenosis / therapy
Humans
Hyperlipoproteinemia Type II / complications*
Male
Percutaneous Coronary Intervention