Hybrid Treatment of Supravalvular Aortic Stenosis and Coronary Ostial Stenosis in Familial Hypercholesterolemia

Familial hypercholesterolemia (FH) is an autosomal dominant inherited metabolic disorder characterized with high levels of low-density lipoprotein (LDL) plasma cholesterol. Increased plasma LDL-cholesterol levels cause cutaneous and tendinous xanthomas, supravalvular aortic stenosis and coronary ostial stenosis in younger ages. Complications can be fatal if it is not diagnosed and treated in preliminary stages. We present a 22-year-old male patient with familial hypercholesterolemia and concomitant supravalvular aortic stenosis and coronary artery disease treated with hybrid coronary revascularization approach.