Behçet's aortitis and aortic regurgitation: a report of two cases.
Behçet's disease is a rare systemic vasculitis that may lead to neurologic complications and rare manifestations of aortitis and aortic regurgitation. We report 2 cases of Behçet's aortitis and aortic regurgitation. The first patient presented with acute stroke. Recognition of acute aortitis on echocardiography led to the diagnosis of vasculitis as the cause of the cerebral event. This case highlights the echocardiographic features of aortic root pathology from acute aortitis to subsequent aortic valve perforation. In both cases, severe aortic regurgitation necessitated aortic valve replacement. Both were complicated by valve dehiscence requiring reoperation, illustrating the postoperative morbidity in this inflammatory condition.
Tsui
Kin-Lam
KL
Department of Medicine, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Rd, Chai Wan, Hong Kong SAR, China. tsuikinl@netvigator.com
Lee
Ka-Wing
KW
Chan
Wai-Kwong
WK
Chan
Helen Ka-Yan
HK
Hon
Sonny Fong-Kwong
SF
Leung
Tat-Chi
TC
Lee
Ka-Lai
KL
Tsoi
Tak-Hong
TH
Li
Shu-Kin
SK
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D001025:Aortitis / Q000175:diagnosis / Q000209:etiology*; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D018450:Disease Progression; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020521:Stroke / Q000175:diagnosis / Q000209:etiology