PMC3959067_01
Tendon xanthomas of lower extremities
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F1
We report the case of a 12-year-old girl; she had a medical history of FH like her brother with tendon xanthomas of the upper and lower extremities [Figure 1].
Coronary angiography before the Ross interventio
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F2
She was operated two years previously for aortic stenosis associated with mitral valve regurgitation grade 3 without coronary artery disease [Figure 2].
Coronary angiography showing coronary stenosis
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F3
The patient was directly sent to the catheterization laboratory where angiography showed stenosis of the distal left main trunk, subocclusive stenosis of the proximal circumflex coronary, a stenosis of the second and distal parts of the interventricular coronary, and proximal subocclusive stenosis of the right coronary artery [Figure 3]; it also showed stenosis of both left and right subclavian arteries [Figure 4].
Stenosis of both subclavian arteries
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F4
The patient was directly sent to the catheterization laboratory where angiography showed stenosis of the distal left main trunk, subocclusive stenosis of the proximal circumflex coronary, a stenosis of the second and distal parts of the interventricular coronary, and proximal subocclusive stenosis of the right coronary artery [Figure 3]; it also showed stenosis of both left and right subclavian arteries [Figure 4].