ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
A case report of coronary artery aneurysm in a patient with Behçet’s disease [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(7): 651-654 | DOI: 10.5543/tkda.2014.44202

A case report of coronary artery aneurysm in a patient with Behçet’s disease

Ufuk Gürkan, Adnan Kaya, Mustafa Adem Tatlısu, Şahin Avşar
Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey

Behçet’s disease (BD) is a multisystem vasculitis that may involve vessels of all sizes. Acute coronary syndrome (ACS) due to secondary involvement of BD is rare and its management less clear. In this case, a 29-year-old man admitted to the emergency room with ongoing chest pain was interned to the coronary care unit with a diagnosis of ACS. The patient had been diagnosed 1 year before with BD and had been without regular follow-up, despite the suggested use of cholchium. An immediate coronary angiography revealed a fresh thrombus image in the proximal segment of the right coronary artery (RCA), an aneurysm of the left anterior descending artery (LAD) at proximal segment, and a hemodynamically significant lesion following the aneurysm. Intervention was ended because of normal flow (TIMI III) of distal RCA. An intravenous infusion of glycoprotein IIb/ IIIa receptor inhibitor (tirofiban) was administered, and a control angiography showed dissolution of a thrombus in RCA, but enlarged aneurysm of LAD and a new aneurysm in RCA.

Keywords: Acute myocardial infarction, aneurysm, Behcet syndrome/complications, coronary thrombosis.

How to cite this article
Ufuk Gürkan, Adnan Kaya, Mustafa Adem Tatlısu, Şahin Avşar. A case report of coronary artery aneurysm in a patient with Behçet’s disease. Turk Kardiyol Dern Ars. 2014; 42(7): 651-654

Corresponding Author: Ufuk Gürkan, Türkiye
Manuscript Language: English


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