Key result
Endarterectomy of the ascending aorta, non-coronary sinus enlargement patch, and aortic valve replacement were performed in a 28-year-old with familial hypercholesterolemia and severe aortic stenosis.
Case Report (n=1)
This case highlights the complexity of surgical management for severe aortic stenosis and ascending aorta calcification in young patients with familial hypercholesterolemia and bicuspid aortic valve.
We report the case of a 28-year-old Caucasian patient symptomatic for low-threshold angina. Coronary angiography ruled out significant coronary stenosis. He was diagnosed with familial hypercholesterolemia and severe aortic stenosis in a setting of bicuspid valve disease. Preoperative evaluation showed diffuse atheromatous disease and severe calcification of the ascending aorta. The patient was treated by endarterectomy of the ascending aorta, non-coronary sinus enlargement patch and aortic valve replacement. This case report emphasizes the role of aortic valve disease in patients with familial hypercholesterolemia and highlights the complexity of surgical management of this condition.
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Brusamolino et al. (2023) conducted a case report in Familial hypercholesterolemia and severe aortic stenosis (n=1). Endarterectomy of the ascending aorta, non-coronary sinus enlargement patch and aortic valve replacement was evaluated. Endarterectomy of the ascending aorta, non-coronary sinus enlargement patch, and aortic valve replacement were performed in a 28-year-old with familial hypercholesterolemia and severe aortic stenosis.
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