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Published on: September 8, 2023
Giant Coronary Aneurysm Complicating Behçet's Disease
Amine El Houari1, Wassim Beladel1, Khalil Abderrahmane Elbaz1
1Department of Cardiology, Souss-Massa University Hospital, Faculty of Medicine and Pharmacy of Agadir, IBN ZOHR University, Agadir, Morocco.
Background:
Behçet's disease (BD) is a systemic vasculitis with multisystem involvement, including rare but serious cardiovascular complications. Although venous manifestations are more common, arterial complications-particularly coronary artery aneurysms-are exceptionally rare and poorly documented.
Case Summary:
A 28-year-old man with BD in remission presented with acute chest pain. Work-up revealed a giant aneurysm of the left anterior descending coronary artery. He was treated with ischemic heart disease therapy and immunosuppressants in preparation for bypass surgery.
Discussion:
Cardiovascular complications in BD, particularly coronary aneurysms, are rare but associated with significant morbidity. Their management is not well documented. Early diagnosis and multidisciplinary care are essential.
Take-Home Messages:
In patients with BD, cardiovascular symptoms warrant prompt and thorough evaluation. Collaborative management involving cardiologists, internal medicine physicians, and cardiothoracic surgeons is essential for timely and effective management.
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