the surgical results were not satisfactory because of progressive graft thrombosis and formation of new aneurysms at the anastomosis. Aggressive medical treatment should be combined when major vessel involvement occurs. All types of arterial punctures for angiography or blood gases should be minimised because of the risk of new aneurysm formation. Surgical intervention is indicated only in patients with a growing aneurysm, acute rupture or severe ischaemia.

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A 33-year-old man with a 9-year history of Behçet's disease was hospitalized with a giant pseudo aneurysm of left anterior descending and true aneurysm of right coronary artery. This unusual vascular complication of Behçet's disease treated successfully is presented.

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