Cardiovascular Behcet's Disease Presenting as a Subepicardial Hematoma: An Uneventful 2-Year Clinical Course.
10.4250/jcu.2010.18.3.108
- Author:
Sun Hwa LEE
1
;
Jei Keon CHAE
;
Jong Bum CHOI
;
Sang Rok LEE
;
Kyoung Suk RHEE
;
Won Ho KIM
;
Jae Ki KO
Author Information
1. Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea. jkchae@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Hematoma;
Coronary artery
- MeSH:
Adult;
Chest Pain;
Coronary Angiography;
Coronary Vessels;
Echocardiography;
Follow-Up Studies;
Heart;
Heart Atria;
Hematoma;
Humans;
Venous Thrombosis;
Warfarin
- From:Journal of Cardiovascular Ultrasound
2010;18(3):108-111
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cardiovascular involvement in Behcet's disease is not uncommon and could be life-threatening. We describe here a 28-year-old man, who developed sudden onset chest pain during warfarinization due to deep vein thrombosis. Echocardiography and computed tomography showed a 60x60 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.