Sattouf Zafer, Ali Bilal, Datla Sanjana, Nied Matthew, Sallam Sherin, Shalaby Akram, Moghbelli Meisam, Sabik Joseph, Gornik Heather L
Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
JACC Case Rep. 2025 Mar 5;30(5):103076. doi: 10.1016/j.jaccas.2024.103076.
Behçet's disease (BD) is a systemic vasculitis which manifests through diverse clinical manifestations, including oral and genital ulcers, and ocular lesions, and has potential for neurologic, gastrointestinal, and cardiovascular involvement. Coronary artery pseudoaneurysm is a very rare complication of BD. This paper presents the case of a giant coronary pseudoaneurysm presenting with acute coronary syndrome. Immunosuppressive therapy and coronary artery bypass grafting remain the most common treatment approach and are associated with excellent outcomes in surgically suitable candidates. This paper presents a case of a 27-year-old man with a history of BD presenting with acute coronary syndrome due to giant saccular coronary pseudoaneurysm.
白塞病（BD）是一种全身性血管炎，通过多种临床表现显现，包括口腔和生殖器溃疡以及眼部病变，并且有可能累及神经、胃肠道和心血管系统。冠状动脉假性动脉瘤是白塞病一种非常罕见的并发症。本文介绍了一例表现为急性冠状动脉综合征的巨大冠状动脉假性动脉瘤病例。免疫抑制治疗和冠状动脉搭桥术仍然是最常见的治疗方法，对于适合手术的患者可带来良好的治疗效果。本文介绍了一例27岁有白塞病病史的男性患者，因巨大囊状冠状动脉假性动脉瘤而出现急性冠状动脉综合征。
