Severe aortic stenosis and familial hypercholesterolemia
DOI:
https://doi.org/10.47487/apcyccv.v2i4.166Keywords:
Familial hypercholesterolemia, Xanthomatosis, Aortic valve stenosisAbstract
Homozygous familial hypercholesterolemia (HFH) is a rare and life-threatening disease that can manifest as coronary artery disease or severe aortic stenosis before twenties. We present the case of a male adolescent who was hospitalized with a clinical diagnosis of HFH and severe aortic stenosis. He underwent aortic valve replacement with mechanical prosthesis and aortic annulus enlargement, and two aortocoronary bypasses were implanted due to an intraoperative complication. The patient evolved favourably and was discharged with combination therapy with high-intensity statins and ezetimibe.
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Sniderman AD, Tsimikas S, Fazio S. The severe hypercholesterolemia phenotype: clinical diagnosis, management, and emerging therapies. J Am Coll Cardiol. 2014;63(19):1935-47.
Wiegman A, Gidding SS, Watts GF, Chapman MJ, Ginsberg HN, Cuchel M, et al. Familial hypercholesterolaemia in children and adolescents: gaining decades of life by optimizing detection and treatment. Eur Heart J. 2015;36(36):2425-37.
Alonso R, Díaz-Díaz JL, Arrieta F, Fuentes-Jiménez F, de Andrés R, Saenz P, et al. Clinical and molecular characteristics of homozygous familial hypercholesterolemia patients: Insights from SAFEHEART registry. J Clin Lipidol. 2016;10(4):953-61.
Mata P, Alonso R, Ruiz A, Gonzalez-Juanatey JR, Badimón L, Díaz-Díaz JL, et al. Diagnóstico y tratamiento de la hipercolesterolemia familiar en España: documento de consenso. Aten Primaria. 2015;47(1):56-65.
Zaidi M, Premkumar G, Naqvi R, Khashkhusha A, Aslam Z, Ali A, et al. Aortic valve surgery: management and outcomes in the paediatric population. Eur J Pediatr. 2021;180(10):3129-39.
Niaz T, Fernandes SM, Sanders SP, Michelena H, Hagler DJ. Clinical history and management of bicuspid aortic valve in children and adolescents. Prog Cardiovasc Dis. 2020;63(4):425-33.
Hu P, Dharmayat KI, Stevens CAT, Sharabiani MTA, Jones RS, Watts GF, et al. Prevalence of Familial Hypercholesterolemia Among the General Population and Patients with Atherosclerotic Cardiovascular Disease: A Systematic Review and Meta-Analysis. Circulation. 2020;141(22):1742-59.
Beheshti SO, Madsen CM, Varbo A, Nordestgaard BG. Worldwide Prevalence of Familial Hypercholesterolemia: Meta-Analyses of 11 Million Subjects. J Am Coll Cardiol. 2020;75(20):2553-66.
Cuchel M, Bruckert E, Ginsberg HN, Raal FJ, Santos RD, Hegele RA, et al. Homozygous familial hypercholesterolaemia: new insights and guidance for clinicians to improve detection and clinical management. A position paper from the Consensus Panel on Familial Hypercholesterolaemia of the European Atherosclerosis Society. Eur Heart J. 2014;35(32):2146-57.
Ascaso JF, Mata P, Arbona C, Civeira F, Valdivielso P, Masana L. Hipercolesterolemia familiar homocigota: adaptación a España del documento de posición del grupo de consenso sobre hipercolesterolemia familiar de la Sociedad Europea de Arteriosclerosis. Documento de Consenso de la Sociedad Española de Arteriosclerosis (SEA) y la Fundación Hipercolesterolemia Familiar (FHF). Clin Investig Arterioscler. 2015;27(2):80-96.
Sturm AC, Knowles JW, Gidding SS, Ahmad ZS, Ahmed CD, Ballantyne CM, et al. Clinical Genetic Testing for Familial Hypercholesterolemia: JACC Scientific Expert Panel. J Am Coll Cardiol. 2018;72(6):662-80.
Soutar AK, Naoumova RP. Mechanisms of Disease: genetic causes of familial hypercholesterolemia. Nat Rev Cardiol. 2007;4(4):214-25.
Cegla J, Neely RDG, France M, Ferns G, Byrne CD, Halcox J, et al. HEART UK consensus statement on Lipoprotein(a): A call to action. Atherosclerosis. 2019;291:62-70.
Raal FJ, Hovingh GK, Catapano AL. Familial hypercholesterolemia treatments: Guidelines and new therapies. Atherosclerosis. 2018;277:483-92.
Sato H, Yoshikai M, Ikeda K, Mukae Y. Surgical treatment of valvular and supravalvular aortic stenosis in homozygous familial hypercholesterolemia. Gen Thorac Cardiovasc Surg. 2016;64(2):98-100.
Saito S, Usui A, Akita T, Ueda Y. Surgery for calcific aortic root stenosis in homozygous familial hypercholesterolemia. European Journal of Cardio-Thoracic Surgery. 2006;29(1):114-6.
Nemati MH. Aortic stenosis five years after coronary artery bypass grafting in a young patient with homozygous familial hypercholesterolemia. J Heart Valve Dis. 2009;18(1):125-7.
Fahed AC, Shibbani K, Andary RR, Arabi MT, Habib RH, Nguyen DD, et al. Premature Valvular Heart Disease in Homozygous Familial Hypercholesterolemia. Cholesterol. 2017;2017:e3685265.