Abstract

Homozygous familial hypercholesterolemia (HoFH) is a result of a disorder of LDL recepto function which is due to a gene abnormality located on the short arm of chromosome 19. Homozygous and heterozygous types available. In homozygous types emerge of coronary lesions due to early atherosclerosis in 1. decade.This untreatment patients are die nearly 20 years old.

After the six months of diagnosis of the familial hypercholesterolemia patient admitted to our outpatient clinic with the complaint of exertional chest pain. A coronary angiography was performed because of the patological exercise stress test. Significant stenosis was detected in the coronary artery. Then the patient has underwent successfully coronary bypass grafting. This case is presented to highlight the early development of coronary lesions in patients with hyperlipidemia.