can be due to cutis laxa, a generalized destruction of elastic tissue that can cause dilatation of the aorta or pulmonary artery and aortic rupture.51 Coronary artery stenosis from atherosclerosis can be associated with hyperlipidemia,111 cerebrotendinous xanthomatoses, Werner's syndrome, uremia, progeria, acromegaly, and diabetes mellitus. Hyperlipidemia may be suspected when xanthomas or