A giant coronary artery aneurysm in a patient with Behçet’s syndrome

Erdogan, Mustafa; Özgür, Duygu Sevinç; Akkuzu, Gamze; Beş, Cemal

doi:10.1093/rheumatology/keac265

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Imaging Approach To Thoracic Involvement In Behcet’s Disease1

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2022

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“…Aneurysms of the Valsalva sinus, if untreated, may lead to complications such as RVS, coronary artery occlusion, aortic regurgitation, and congestive heart failure [ 90 ]. Coronary artery pseudoaneurysm and giant coronary artery aneurysm can be found [ 91 , 92 , 93 , 94 ]. Recently, a case of BD with myocarditis was reported [ 95 ]; in this case, transesophageal echocardiography is more useful than TTE for making this diagnosis.…”

Section: Imaging Approach To Thoracic Involvement In Behcet’s Diseasementioning

confidence: 99%

Behçet’s Disease: A Radiological Review of Vascular and Parenchymal Pulmonary Involvement

et al. 2022

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Behcet’s disease (BD) is a chronic systemic inflammatory disorder characterized by underlying chronic vasculitis of both large- and small-caliber vessels. Thoracic involvement in BD can occur with various types of manifestations, which can be detected with contrast-enhanced MSCT scanning. In addition, MR can be useful in diagnosis. Characteristic features are aneurysms of the pulmonary arteries that can cause severe hemoptysis and SVC thrombosis that manifests as SVC syndrome. Other manifestations are aortic and bronchial artery aneurysms, alveolar hemorrhage, pulmonary infarction, and rarely pleural effusion. Achieving the right diagnosis of these manifestations is important for setting the correct therapy and improving the patient’s outcome.

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