Postinflammatory rupture of right coronary artery ostium complicating Behçet disease.
Behçet disease
anticoagulation therapy
bipolar disorder
cardiac reoperation
neurobehavioral
transcatheter aortic valve implantation
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
14
06
2022
received:
11
04
2022
accepted:
05
07
2022
pubmed:
23
7
2022
medline:
8
9
2022
entrez:
22
7
2022
Statut:
ppublish
Résumé
Behçet disease (BD) is a chronic relapsing inflammatory disease of unknown etiology, characterized by variable clinical manifestations. A 28-year-old woman with BD Cardiovascular and Bipolar Disorder underwent emergency surgical treatment of ascending aortic pseudoaneurysm for ruptured right coronary ostium.A modified Bentall procedure with tricuspid annuloplasty, surgical thrombectomy, and a single coronary artery bypass using a saphenous vein graft was performed. A biological prosthesis was used initially but subsequently deteriorated. We then successfully performed a valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI). The postoperative recovery was uneventful and at follow-up, two years post valve procedure, the patient was completely symptom-free. She remains under long-term medical surveillance. The management of BD with cardiac involvement must be led by a multidisciplinary team.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
3432-3435Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
Lee I, Park S, Hwang I, et al. Cardiac behçet disease presenting as aortic valvulitis/aortitis or right heart inflammatory mass: a clinicopathologic study of 12 cases. Am J Surg Pathol. 2008;32:390-398.
Marzban M, Mandegar MH, Karimi A, et al. Cardiac and great vessel involvement in “Behcet's disease”. J Card Surg. 2008;23:765-768.
Zhang Shi-Huai, Zhang Fu-Xian. Behçet's disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review. J Cardiothorac Surg. 2017;12:79.
Azuma Takashi, Yamazaki Kenji, Saito Satoshi, Kurosawa Hiromi. Aortic valve replacement in Behcet's disease: surgical modification to prevent valve detachment. Eur J Cardiothorac Surg. 2009;36(4):771-772.
Mustafa ALI, Soumitra DAS. “Neuro-psycho- BS”: a case report of rare association with bipolar disorder. Shanghai Arch Psychiatry. 2018;30(1):376-379.