Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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CARDIOVASCULAR BEHÇET'S DISEASE PRESENTING AS A SUBEPICARDIAL HEMATOMA: AN UNEVENTFUL 2-YEAR CLINICAL COURSE

  • Lee, Sun-Hwa (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Chae, Jei-Keon (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Choi, Jong-Bum (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Lee, Sang-Rok (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Rhee, Kyoung-Suk (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Kim, Won-Ho (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Ko, Jae-Ki (Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School)
  • Published : 2010.09.27
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Abstract

Cardiovascular involvement in Behçet's disease is not uncommon and could be life-threatening. We describe here a 28-yearold man, who developed sudden onset chest pain during warfarinization due to deep vein thrombosis. Echocardiography and computed tomography showed a 60$\times$60 mm-sized hematoma in the pericardial space compressing the right heart. Coronary angiography showed totally occluded proximal right coronary artery. The hematoma was located at the subepicardial plane of the right atrium on surgical view and successfully evacuated. Follow-up echocardiography revealed complete resolution of the hematoma. He is doing well for 24 months after surgery.

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References

  1. Sismanoglu M, Omeroglu SN, Mansuroglu D, Ardal H, Erentug V, Kaya E, Guler M, Ipek G, Yakut C. Coronary artery disease and coronary artery bypass grafting in Behçet's disease. J Card Surg 2005;20: 160-3. https://doi.org/10.1111/j.0886-0440.2005.200381.x
  2. Sakane T, Takeno M, Suzuki N, Inaba G. Behcet's disease. N Engl J Med 1999;341:1284-91. https://doi.org/10.1056/NEJM199910213411707
  3. Atzeni F, Sarzi-Puttini P, Doria A, Boiardi L, Pipitone N, Salvarani C. Behçet's disease and cardiovascular involvement. Lupus 2005;14:723-6. https://doi.org/10.1191/0961203305lu2208oa
  4. Kim KH, Choi JB, Kim KS. Subepicardial hematoma compressing the right atrium: spontaneous rupture of the right coronary artery. Ann Thorac Surg 2008;86:e9. https://doi.org/10.1016/j.athoracsur.2008.09.062
  5. Ipek G, Omeroǧlu SN, Mansuroǧlu D, Kirali K, Uzun K, Sismanoǧlu M.Coronary artery bypass grafting in a 26-year-old man with total occlusion of the left main coronary artery related to Behçet disease. J Thorac Cardiovasc Surg 2001;122:1247-9. https://doi.org/10.1067/mtc.2001.116549
  6. Yakut ZI, Odev K. Pulmonary and cardiac involvement in Behçet disease: 3 case reports. Clin Appl Thromb Hemost 2007;13:318-22. https://doi.org/10.1177/1076029607302437
  7. Al-Mutawa SA, Hegab SM. Behcet's disease. Clin Exp Med 2004;4:103-31. https://doi.org/10.1007/s10238-004-0045-0
  8. Alpagut U, Ugurlucan M, Dayioglu E. Major arterial involvement and review of Behcet's disease. Ann Vasc Surg 2007;21:232-9. https://doi.org/10.1016/j.avsg.2006.12.004
  9. Ahn JK, Lee YS, Jeon CH, Koh EM, Cha HS. Treatment of venous thrombosis associated with Behcet's disease: immunosuppressive therapy alone versus immunosuppressive therapy plus anticoagulation. Clin Rheumatol 2008;27:201-5. https://doi.org/10.1007/s10067-007-0685-z
  10. Houman MH, Ben Ghorbel I, Khiari Ben Salah I, Lamloum M, Ben Ahmed M, Miled M. Deep vein thrombosis in Behcet's disease. Clin Exp Rheumatol 2001;19:S48-50.
  11. Calamia KT, Schirmer M, Melikoglu M. Major vessel involvement in Behcet disease. Curr Opin Rheumatol 2005;17:1-8. https://doi.org/10.1097/01.bor.0000145520.76348.dd