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Early severe coronary artery disease and aortic coarctation in a child with familial hypercholesterolaemia
  1. Dina Labib,
  2. Haytham Soliman,
  3. Kareem Said,
  4. Khaled Sorour
  1. Department of Cardiovascular Medicine, Cairo University, Giza, Egypt
  1. Correspondence to Dr Dina Labib, dolabib{at}


An 11-year-old boy presented with easy fatigability, multiple xanthomas, and absent pedal pulsations. Laboratory workup showed severe hypercholesterolaemia and non-invasive imaging revealed ‘normally functioning’ bicuspid aortic valve and tight aortic coarctation. Coronary angiography showed severe right coronary artery (RCA) stenosis. Medical treatment resulted in significant improvement of dyslipidaemia. We successfully performed balloon dilation and stenting of his coarctation, as well as percutaneous coronary intervention for RCA lesion.

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  • Contributors All authors have participated in the patient's clinical care. DL was responsible for the non-invasive imaging. HS and KhS conducted the invasive imaging and intervention. All authors contributed to drafting of the manuscript. KhS critically revised the manuscript. DL and KhS are responsible for the overall content as guarantors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.