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Progressive coronary aneurysms in Behcet disease, a journey through surgical and percutaneous treatment: A case report.

ABSTRACT: Behçet disease is a systemic autoimmune disease that causes inflammation within the vascular tree. Coronary arteries are rarely involved with stenosis, arteritis or aneurysm formation. Treatment is mainly directed to reduce the burden of inflammation systemically with steroid and immunosuppressive medications. However, patients might present in critical conditions requiring interventions in the form of percutaneous therapy or surgical bypass grafting. We present the case of a 34-year-old male who presented with acute coronary insult and was later found to have Behçet disease. His course was aggressive, as he required bypass graft surgery for rupture coronary aneurysm and cardiac tamponade. Later on, he required percutaneous intervention with cover stents for multiple coronary aneurysms that he developed afterward despite being on medical therapy. .

SUBMITTER: Husain A

PROVIDER: S-EPMC6283017 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Progressive coronary aneurysms in Behçet disease, a journey through surgical and percutaneous treatment: A case report.

Husain Aysha A Al-Allaf Abdalkareem A AlAmri Maha M AlKalbani Ahmed A

Journal of cardiology cases 20160414 1

Behçet disease is a systemic autoimmune disease that causes inflammation within the vascular tree. Coronary arteries are rarely involved with stenosis, arteritis or aneurysm formation. Treatment is mainly directed to reduce the burden of inflammation systemically with steroid and immunosuppressive medications. However, patients might present in critical conditions requiring interventions in the form of percutaneous therapy or surgical bypass grafting. We present the case of a 34-year-old male wh ...[more]

PMID: 30546656

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