A giant pseudoaneurysm of the left anterior descending coronary artery related to Behçet disease.
We report the case of a young patient with a recent diagnosis of Behçet disease, in whom the left anterior descending coronary artery was found fully open into a giant pseudoaneurysm, with occlusion of the distal segment. Surgical treatment included opening of the pseudoaneurysm with clot and fibrous tissue removal, proximal left anterior descending coronary artery closure, and distal left anterior descending coronary artery grafting. In patients with Behçet disease, it is advisable to perform computed tomography coronary angiography to rule out the presence of coronary artery disease and the occurrence of a rare but potentially life-threatening complication.
Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia; Department of Research, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: am.calafiore@gmail.com.
Antonio M
AM
Calafiore
Department of Adult Cardiology, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Sumaya
S
Al Helali
Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Angela L
AL
Iaco'
Department of Research, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Azmat A
AA
Sheickh
Department of Adult Cardiology, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Hatim
H
Kheirallah
Institute of Cardiology, University of L'Aquila, L'Aquila, Italy.
Michele
M
Di Mauro
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000473:pathology; D001528:Behcet Syndrome / Q000150:complications*; D003324:Coronary Artery Disease / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male