학술논문

Progressive Aortic Stenosis in Homozygous Familial Hypercholesterolemia After Liver Transplant.
Document Type
Article
Source
Pediatrics. Nov2016, Vol. 138 Issue 5, pe1-e5. 5p.
Subject
*AORTIC stenosis
*LIPIDS
*LIVER transplantation
*LOW density lipoproteins
*XANTHOMONAS
*FAMILIAL hypercholesterolemia
*DISEASE complications
Language
ISSN
0031-4005
Abstract
Early onset coronary artery disease and aortic calcifications are characteristic features of patients with homozygous familial hypercholesterolemia. Standard medical therapy includes dietary modification, pharmacotherapy, and lipoprotein apheresis to lower serum low-density lipoprotein cholesterol (LDL-C). Liver transplant is a surgical option for the treatment of homozygous familial hypercholesterolemia and can lead to normal cholesterol levels. Vascular calcifications are known to progress despite standard medical therapy and have been reported after liver transplant in the setting of rejection. We present the first report of progressive severe aortic valve stenosis in a patient despite liver transplant with normalization of lipid levels and no history of graft rejection. [ABSTRACT FROM AUTHOR]