title: Acute myocardial infarction and left subclavian artery occlusion in Behçet's disease: a case report.
abstract: A 42-year-old woman with Behcet's disease and pericardial effusion for 14 years presented with acute myocardial infarction and received thrombolytic therapy. Coronary angiography showed total occlusion of the left anterior descending artery. Subsequently, the left internal mammary artery was grafted to the left anterior descending artery. Approximately one year after bypass surgery, digital subtraction angiography of the left subclavian artery, performed because of chest and left arm pain, showed total occlusion of the left subclavian artery. Retrograde flow from the left vertebral artery filled the distal portion of the left subclavian artery. In conclusion, patients with Behcet's disease should be investigated closely for involvement of other arteries when one vessel's involvement has been detected. We also recommend that free arterial grafts be used for any coronary surgical intervention, because of the risk of occlusion associated with the vasculitis of Behcet's disease.
authors.affiliation: Gulhane Military Medical Academy, Department of Cardiology, 06018 Etlik, Ankara, Turkey. aiyisoy@hotmail.com
authors.forename: Atila
authors.initials: A
authors.lastname: Iyisoy
authors.forename: Hurkan
authors.initials: H
authors.lastname: Kursaklioglu
authors.forename: Sedat
authors.initials: S
authors.lastname: Kose
authors.forename: Zeki
authors.initials: Z
authors.lastname: Yesilova
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozturk
authors.forename: Kenan
authors.initials: K
authors.lastname: Saglam
authors.forename: Ertan
authors.initials: E
authors.lastname: Demirtas
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013348:Subclavian Artery / Q000473:pathology*