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  • Title: Surgical Challenges of Familial Hypercholesterolemia.
    Author: Bhoje A, Talwar S, Saxena R, Gharde P, Choudhary SK.
    Journal: Ann Thorac Surg; 2016 Jun; 101(6):2367-70. PubMed ID: 27211947.
    Abstract:
    A 21-year-old patient with familial hypercholesterolemia presented with angina caused by ostial stenosis of the left internal mammary artery and severe calcific aortic stenosis with small aortic root 9 years after coronary revascularization. The ostium of the left internal mammary artery was enlarged using a saphenous vein patch through a left supraclavicular incision, which improved left ventricular function. Successful aortic valve replacement with posterior aortic root enlargement was subsequently performed. The surgical management of this condition is discussed briefly.
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