Author:
Feng Jingwei,Miao Qi,Zhang Chaoji
Abstract
AbstractBehcet’s disease(BD) is a chronic inflammatory vasculitis that rarely affects the arteries, making myocardial infarction unlikely. We report a 28-year-old patient who was admitted to our hospital with multiple sudden syncope. Cardiovascular risk factors such as hypertension (HT), diabetes and obesity were not found in her. Preoperatively, imaging examinations suggested thrombosis of the inferior and superior vena cava and right heart combined with coronary artery aneurysm. The patient was finally diagnosed with a huge coronary artery aneurysm proximal to the left anterior descending artery. Syncope is considered to be caused right ventricular outflow tract obstruction. The patient received a successful aneurysm resection and had an uneventful postoperative recovery.
Publisher
Springer Science and Business Media LLC
Subject
Cardiology and Cardiovascular Medicine
Reference15 articles.
1. Chen J, Yao X. A contemporary review of Behcet’s Syndrome. Clin Rev Allergy Immunol. 2021;61:363–76.
2. Marzban M, Mandegar MH, Karimi A, et al. Cardiac and great vessel involvement in Behcet’s disease. J Card Surg. 2008;23:765–8.
3. Yazici H, Seyahi E, Hatemi G, et al. Behcet syndrome: a contemporary view. Nat Rev Rheumatol. 2018;14:107–19.
4. Bletry O, Mohattane A, Wechsler B, et al. [Cardiac involvement in Behcet’s disease. 12 cases]. Presse Med. 1988;17:2388–91.
5. Tekin B, Ozen G, Tekayev N, et al. Acute coronary syndrome in Behcet’s disease caused by a coronary artery aneurysm and thrombosis. Eur J Rheumatol. 2014;1:156–8.