Abstract
A 32-year-old man with Behcet’s disease presented with typical chest pain of 36-hour onset. His physical examination was normal. Levels of cardiac enzymes and troponin I were increased. Electrocardiography showed ST-segment depression in precordial leads. An emergency invasive intervention was initiated with the diagnosis of subacute anterior myocardial infarction. Coronary angiography showed a large aneurysm in the proximal segment of the left anterior descending artery with TIMI 0 flow (Fig. A). The large aneurysm was also demonstrated by multislice computed tomography (Fig. B, C). The patient underwent an emergency surgical intervention for repair of the coronary aneurysm. Behcet syndrome is a vasculitis that can affect all the arteries and veins. Coronary artery aneurysms are uncommon in Behcet’s disease. Ali Dogan Ahmet Celik† Serap Dogan# Ibrahim Ozdogru
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