Familial homozygous hypercholesterolemia manifests as premature coronary occlusive heart disease. It is a rare dominant inherited disorder caused by the mutation at the locus encoding the low density lipoprotein receptor. Apart from coronary revascularization procedure, intensive cholesterol lowering therapy and low density lipoprotein aphaeresis is needed. Very few cases have been reported in the literature so far. The subject of this case is a 16 year old boy with medical history of familial hypercholesterolemia who underwent triple coronary artery bypass grafting uneventfully.
Familial homozygous hypercholesterolemia; coronary artery bypass; coronary artery disease