Research Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, PR China.
Department of Cardiac Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
BMC Cardiovasc Disord. 2023 Sep 15;23(1):463. doi: 10.1186/s12872-023-03501-7.
Behcet's disease(BD) is a chronic inflammatory vasculitis that rarely affects the arteries, making myocardial infarction unlikely. We report a 28-year-old patient who was admitted to our hospital with multiple sudden syncope. Cardiovascular risk factors such as hypertension (HT), diabetes and obesity were not found in her. Preoperatively, imaging examinations suggested thrombosis of the inferior and superior vena cava and right heart combined with coronary artery aneurysm. The patient was finally diagnosed with a huge coronary artery aneurysm proximal to the left anterior descending artery. Syncope is considered to be caused right ventricular outflow tract obstruction. The patient received a successful aneurysm resection and had an uneventful postoperative recovery.
白塞病（BD）是一种慢性炎症性脉管炎，很少累及动脉，因此心肌梗死不太可能发生。我们报告了一例 28 岁女性患者，因多次突发晕厥而入院。她没有高血压（HT）、糖尿病和肥胖等心血管危险因素。术前影像学检查提示下腔静脉和上腔静脉及右心血栓形成，并合并冠状动脉瘤。最终诊断为左前降支近端巨大冠状动脉瘤。晕厥被认为是由右心室流出道梗阻引起的。患者成功地进行了动脉瘤切除术，术后恢复顺利。
