A CASE REPORT OF CORONARY ARTERY DISEASE IN A TEENAGE GIRL

Atherosclerosis is the leading cause of death in most parts of the world. this disorderaffects nl0stly patients above the age 40 years. this case report introduces a 17 years old girl with earlydevelopment of coronary artery disease who had severe coronary atherosclerosis that did not respond toinedical and interventional treatment and underwent surgical operation in cardiac surgery department ofshahid madani hospital, tabriz, iran. presence of risk factors for atherosclerosis were evaluated andthe only findings were positive family history of cardiac death in her uncle at about 52 years of age andhigh level of lipoprotein (a) in one of her sisters. in follow up evaluation of this patient, high levels oflipoprotein (a) was documented which was controlled with medical therapy. we concluded that highlevel of lipoprotein (a) was the probable cause of atherosclerosis in this patient. this case reportelnphasizes the need to screen siblings ofpatients with premature myocardial infarction