Symptomatic bilateral carotid artery stenoses 7 years after coronary artery bypass surgery in a young patient with familial hypercholesterolemia

Vasa. 2008 Feb;37(1):87-9. doi: 10.1024/0301-1526.37.1.87.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Anticholesteremic Agents / therapeutic use
  • Blood Component Removal
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / surgery*
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / drug therapy
  • Carotid Stenosis / surgery*
  • Coronary Artery Bypass*
  • Coronary Stenosis / drug therapy
  • Coronary Stenosis / etiology
  • Coronary Stenosis / surgery*
  • Humans
  • Hyperlipoproteinemia Type II / complications*
  • Hyperlipoproteinemia Type II / drug therapy
  • Hyperlipoproteinemia Type II / surgery
  • Hyperlipoproteinemia Type II / therapy*
  • Male
  • Platelet Aggregation Inhibitors / therapeutic use
  • Severity of Illness Index
  • Stents*
  • Treatment Outcome

Substances

  • Anticholesteremic Agents
  • Platelet Aggregation Inhibitors