Stenosis and Aneurysm of Coronary Arteries in A Patient with Behcet’s Disease

Coronary artery disease is extremely rare in patients with Behçet’s disease. We report the case of a patient with a history of Behçet’s disease who was admitted in our hospital with instable angina pectoris. The patient’s electrocardiogram was normal. Coronary angiography revealed aneurysm of the distal right coronary artery with a tight stenosis of the proximal part of the posterolateral branch. These two conditions were initially treated with immunosuppressive treatment. Three years later coronary angiography showed a total occlusion of the right coronary artery treated with medical therapy. More than fourteen cases of coronary involvement were reported in the literature but the etiopathogeny and the treatment are yet unknown

[1]  G. Hatemi,et al.  Atherosclerosis in Behçet's Syndrome. , 2008, Seminars in arthritis and rheumatism.

[2]  T. Cuisset,et al.  Giant coronary artery aneurysm in Behçet’s disease , 2007, Heart.

[3]  E. Tatlı,et al.  Coronary artery ectasia in a patient with Behcet's disease. , 2007, Saudi medical journal.

[4]  K. Odev,et al.  Pulmonary and Cardiac Involvement in Behçet Disease: 3 Case Reports , 2007, Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis.

[5]  S. Androudi.  Current concepts in the etiology and treatment of Behçet disease. , 2006, Survey of ophthalmology.

[6]  C. Lee,et al.  A Case of Behçet's Disease with Pericarditis, Thrombotic Thrombocytopenic Purpura, Deep Vein Thrombosis and Coronary Artery Pseudo Aneurysm , 2006, The Korean Journal of Internal Medicine.

[7]  T. Hanafusa,et al.  Vascular Behçet's disease with coronary artery aneurysm. , 2006, Internal medicine.

[8]  B. Geyık,et al.  Giant Left Anterior Descending Artery Aneurysm in a Patient with Behcet's Disease. , 2005, Heart, lung & circulation.

[9]  S. Hammami,et al.  Intracardiac thrombus in Behçet's disease: Two case reports , 2005, Thrombosis journal.

[10]  H. Gullu,et al.  Acute myocardial infarction with normal coronary arteries in a young man with the Behcet's disease. , 2005, International journal of cardiology.

[11]  C. Yakut,et al.  Coronary Artery Disease and Coronary Artery Bypass Grafting in Behçet's Disease , 2005, Journal of cardiac surgery.

[12]  R. Sakata,et al.  Off-pump coronary artery bypass grafting in a patient with Behçet's disease. , 2004, The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi.

[13]  S. Kraiem,et al.  Maladie de Behçet : cause rare d’infarctus du myocarde , 2004 .

[14]  S. Kawana,et al.  Behçet's syndrome associated with acute myocardial infarction. , 2003, Journal of Nippon Medical School = Nippon Ika Daigaku zasshi.

[15]  B. Wechsler,et al.  [Cardiovascular manifestations of Behçet's disease]. , 1999, Annales de medecine interne.