چكيده لاتين :
Atherosclerosis is the leading cause of death in most parts of the world. This disorder
affects nl0stly patients above the age 40 years. This case report introduces a 17 years old girl with early
development of coronary artery disease who had severe coronary atherosclerosis that did not respond to
Inedical and interventional treatment and underwent surgical operation in cardiac surgery department of
Shahid Madani Hospital, Tabriz, Iran. Presence of risk factors for atherosclerosis were evaluated and
the only findings were positive family history of cardiac death in her uncle at about 52 years of age and
high level of lipoprotein (a) in one of her sisters. In follow up evaluation of this patient, high levels of
lipoprotein (a) was documented which was controlled with medical therapy. We concluded that high
level of lipoprotein (a) was the probable cause of atherosclerosis in this patient. This case report
elnphasizes the need to screen siblings ofpatients with premature myocardial infarction
