Stenting for huge coronary artery aneurysm and stenosis in a patient with Behçet's disease presenting with non-ST...

Coronary artery aneurysms in patients with Behçet's disease are rare and associated with fatal complications. Covered stents have been used in the management of coronary aneurysms but not in patients with Behçet's disease. We are reporting a rare case of Behçet's disease, admitted with non-ST segment elevation myocardial infarction, whose coronary angiogram revealed huge aneurysm involving proximal left anterior descending artery followed by severe stenosis. The stenosis was treated by drug-eluting stent and the aneurysm was successfully sealed with a covered stent. He remained asymptomatic at 3-month follow-up and repeat angiogram showed patent stents. There is no consensus upon the management of coronary artery aneurysm in a patient with Behçet's disease presenting with acute myocardial infarction. Sealing of aneurysm with covered stent and managing stenosis with drug-eluting stent can also be used for management in these patients with adequate use of immunosuppressant and anticoagulant.>.