Familial hypercholesterolemia supravalvular aortic stenosis and extensive atherosclerosis

Indian Heart J. 2018 Jul-Aug;70(4):575-577. doi: 10.1016/j.ihj.2018.01.006. Epub 2018 Jan 8.

Abstract

Familial hypercholesterolemia is an autosomally dominant disorder caused by various mutations in low-density lipoprotein receptor genes. This can lead to premature coronary atherosclerosis and cardiac-related death. The symptoms are more severe in the homozygous type of the disease. Premature malignant atherogenesis leading to aortic root abnormalities causing supravalvular aortic stenosis is rare. Our case demonstrates the diagnostic imaging findings of the phenotype of patients who have severe elevated LDL with familial hypercolesterolemia.

Keywords: Aortic stenosis; Familial; Hypercholesterolemia; Xanthoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Stenosis, Supravalvular / diagnosis
  • Aortic Stenosis, Supravalvular / etiology*
  • Atherosclerosis / diagnosis
  • Atherosclerosis / etiology*
  • Cholesterol, LDL / blood
  • Coronary Angiography
  • Echocardiography, Doppler, Color
  • Female
  • Humans
  • Hyperlipoproteinemia Type II / blood
  • Hyperlipoproteinemia Type II / complications*
  • Hyperlipoproteinemia Type II / diagnosis
  • Phenotype
  • Tomography, X-Ray Computed

Substances

  • Cholesterol, LDL