Postinflammatory rupture of right coronary artery ostium complicating Behçet disease. Issue 10 (21st July 2022)

• Record Type: Journal Article
• Authors: Fiore, Antonio; Piscitelli, Mariantonietta; Rabia, Amel; Derbel, Haytham; Bergoend, Eric; Avtaar Singh, Sanjeet S.; Nappi, Francesco
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 10(2022)
• Page Start: 3432
• Page End: 3435
• Publication Date: 2022-07-21
• Subjects: anticoagulation therapy -- Behçet disease -- bipolar disorder -- cardiac reoperation -- neurobehavioral -- transcatheter aortic valve implantation; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.16771
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Introduction: Behçet disease (BD) is a chronic relapsing inflammatory disease of unknown etiology, characterized by variable clinical manifestations. Methods: 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). Results: 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. Conclusion: The management of BD with cardiac involvement must be led by a multidisciplinary team.