title: A case report of coronary artery aneurysm in a patient with Behçet's disease.
abstract: 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.
authors.affiliation: Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey. drufukgurkan@gmail.com.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Gürkan
authors.affiliation: Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Kaya
authors.affiliation: Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul, Turkey.
authors.forename: Mustafa Adem
authors.initials: MA
authors.lastname: Tatlısu
authors.affiliation: Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul, Turkey.
authors.forename: Sahin
authors.initials: S
authors.lastname: Avşar
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000328:Adult; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis*; D017023:Coronary Angiography; D003331:Coronary Vessels; D003937:Diagnosis, Differential; D006322:Heart Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy