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Multidetector-row computed tomography of a Valsalva sinus aneurysm in a patient with Behçet disease
Sung Ho Hwang1, Tae Hoon Kim, Sang Jin Kim
1Department of Radiology, Yonsei University College of Medicine, Seoul 135-720, Korea.
Insights
Behçet disease can cause cardiovascular issues like aneurysms. Multidetector-row CT effectively detected a left Valsalva sinus aneurysm compressing a coronary artery in a patient with Behçet disease.
Area of Science:
- Cardiology
- Radiology
- Rheumatology
Background:
- Behçet disease is a complex multisystem inflammatory disorder.
- Cardiovascular manifestations, including aneurysms and arterial occlusions, are known complications of Behçet disease.
Observation:
- This case report details a 45-year-old female patient diagnosed with Behçet disease.
- The patient presented with an unruptured aneurysm of the left Valsalva sinus.
Findings:
- Multidetector-row computed tomography (MDCT) identified the left Valsalva sinus aneurysm.
- The aneurysm was observed to be constricting the left anterior descending artery.
- MDCT proved valuable in assessing coronary artery patency post-operatively.
Implications:
- MDCT is a useful imaging modality for diagnosing cardiovascular complications in Behçet disease patients.
- Early detection and surgical evaluation of aneurysms are crucial for managing these complications.
- This case highlights the importance of considering cardiovascular involvement in Behçet disease management.
Abstract:
Behçet disease is a multisystem disease, which can cause cardiovascular manifestations such as arterial occlusion or aneurysm. This report describes multidetector-row computed tomography findings of an unruptured aneurysm of the left Valsalva sinus which was associated with Behçet disease. A 45-year-old woman with Behçet disease had an aneurysm of the left Valsalva sinus which constricted the left anterior descending artery. The multidetector-row computed tomography was useful in detecting the aneurysm and complications, and was beneficial in the evaluation of patency in the coronary arteries after surgery.
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