Stenosis and aneurysm of coronary arteries in a patient with Behçet's Disease.

Autor: Sonia H; Department of Internal Medicine, University Hospital 'F. Bourguiba' Monastir (Tunisia). Sonia.Hammami@fmm.mu.tn, Khaldoun BH, Sylvia M, Faouzi M, Habib G, Mohamed BF
Jazyk: angličtina
Zdroj: The open cardiovascular medicine journal [Open Cardiovasc Med J] 2008; Vol. 2, pp. 118-20. Date of Electronic Publication: 2008 Dec 19.
DOI: 10.2174/1874192400802010118
Abstrakt: Coronary artery disease is extremely rare in patients with Behçet's disease. We report the case of a patient with a history of Behçet's disease who was admitted in our hospital with instable angina pectoris. The patient's electrocardiogram was normal. Coronary angiography revealed aneurysm of the distal right coronary artery with a tight stenosis of the proximal part of the posterolateral branch. These two conditions were initially treated with immunosuppressive treatment. Three years later coronary angiography showed a total occlusion of the right coronary artery treated with medical therapy. More than fourteen cases of coronary involvement were reported in the literature but the etiopathogeny and the treatment are yet unknown.
Databáze: MEDLINE