Cardiovascular Behçet's Disease Presenting as a Subepicardial Hematoma: An Uneventful 2-Year Clinical Course.
Cardiovascular involvement in Behçet's disease is not uncommon and could be life-threatening. We describe here a 28-year-old man, who developed sudden onset chest pain during warfarinization due to deep vein thrombosis. Echocardiography and computed tomography showed a 60×60 mm-sized hematoma in the pericardial space compressing the right heart. Coronary angiography showed totally occluded proximal right coronary artery. The hematoma was located at the subepicardial plane of the right atrium on surgical view and successfully evacuated. Follow-up echocardiography revealed complete resolution of the hematoma. He is doing well for 24 months after surgery.
Lee
Sun Hwa
SH
Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Chae
Jei Keon
JK
Choi
Jong Bum
JB
Lee
Sang Rok
SR
Rhee
Kyoung Suk
KS
Kim
Won Ho
WH
Ko
Jae Ki
JK