Full arterial revascularization with “no-touch” technique in a patient with familial homozygous hypercholesterolemia

Full arterial revascularization with “no-touch” technique in a patient with familial homozygous hypercholesterolemia

Özer Selimoğlu, Murat Başaran, Eylül Kafalı, Noyan Temuçin Oğuş

Department of Cardiovascular Surgery, Göztepe Şafak Hospital, İstanbul

Although familial homozygous hypercholesterolemia is a very rare pathology, it may be associated with severe cardiac disease. It causes high plasma levels of cholesterol with accelerated atherosclerosis resulting in the development of cutaneous xanthomas, premature coronary artery disease and aortic atherosclerosis. These patients may require early coronary artery bypass grafting operation. In this article, we describe a 22-year-old female patient with familial homozygous hypercholesterolemia who was treated successfully with a “no-touch” technique coronary artery bypass grafting operation because of severely atherosclerotic ascending aorta. The use of full arterial revascularization by using a “no-touch” technique prevents the risk of systemic embolization and also offers good long-term patency.

Keywords : Atherosclerotic ascending aorta; coronary artery bypass grafting operation; familial homozygous hypercholesterolemia

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