The research in general on nutrition and hearth health is still mostly correlation. Definitely someone with a specific disorder could have a more obvious causal link with cholesterol and cardiac events, but I've read a bunch of different papers, many from respected institutions, and the conclusions usually are, IMHO (I studied physics), garbage.
In case of people who have a high level LDL cholesterol, the phagocytes - the scavenger cells in blood consume more cholesterol particles in general. The result is cholesterol is more likely to stick to the walls of affected blood vessels.
This is one of the most thoroughly researched topics in medicine.
Does it mean high LDL will always result in a heart attack? No! Just like not every cigarette smoker dies of lung cancer.
You describe one mechanism by which cholesterol could cause heart disease. As you say, there is lots of evidence that it happens -- in an unknown subset of the population, with defining characteristics that nobody's managed to figure out.
The science just isn't there. And the financial success of statins seems to really get in the way of people wanting to work it all out.