PMC7642436_01
Severely stenosed coronary arteries in an HoFH patient. (A) Calcified plaques (black arrow) in the middle of the left descending artery in the heart of the patient. Stenosis (red arrow) in the middle of the left descending artery. (B) Calcified plaques (black arrow) in the initial ramus. Stenosis (red arrow) in the initial ramus.
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F1
Severe calcification was also observed in the left anterior descending branch and lumen of the ramus (Figure 1).
HoFH affecting the structure and function of the mitral valve device. (A) Poorly matched A3 and P3 areas (black arrow). (B) An ED4600 mitral annuloplasty ring is sutured to the mitral ring after edge-to-edge repair of the A1-P1 and A3-P3 areas (black arrow).
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F2
The mitral valves in the A1-P1 and A3-P3 areas under the cardiopulmonary bypass were poorly joined; thus, after edge-to-edge repair, ED4600 (AG Edwards & Sons, Inc., USA) mitral annular contraction was used to connect the two regions (Figure 2).
HoFH affecting the structure and function of the aortic valve device. (A) The left coronary valve is slightly drooped (black arrow). (B) 5-0 Prolene line for clamping the autologous pericardium and suturing the junction of the left and non-crown flaps (black arrow).
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F3
The modified DeVega procedure was performed on the tricuspid valve, and an autologous pericardial patch was mattress-sutured to the slightly drooped left coronary valve using a 5-0 Prolene line (Figure 3).
Timeline of the patient's entire diagnosis and treatment.
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F4
A timeline detailing the course of the patient's diagnosis and treatment is shown in Figure 4.