The Annals of Thoracic Surgery, Vol 53, 510-512, Copyright © 1992 by The Society of Thoracic Surgeons
Coronary bypass using arterial grafts in homozygous familial hypercholesterolemia
T Takahashi, S Nakano, M Kaneko, H Matsuda, K Taniguchi, T Nakamura and Y Matsuzawa
First Department of Surgery, Osaka University Medical School, Japan.
A 25-year-old man with homozygous familial hypercholesterolemia who had
severe coronary artery disease underwent coronary revascularization by
combined arterial grafts using bilateral internal mammary arteries and
gastroepiploic artery. Early postoperative coronary angiography showed all
the grafts patent without any stenosis. Because no atherosclerotic changes
were seen in the specimens of each graft used, combined arterial grafting
may have a role in the treatment of coronary artery disease in homozygous
familial hypercholesterolemia.