Behcet’s Disease with Resolving Pulmonary Artery Aneurysm and Intracardiac Thrombus

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PHJ Yeung, KKP Lau, A Lac

Hong Kong J Radiol 2011;14:167-9

The combination of pulmonary artery aneurysm and intracardiac thrombus is rare in Behçet’s disease. We report on a 39-year-old man from Iraq with a clinical diagnosis of Behçet’s disease based on a nonhealing mouth ulcer, recurrent venous thromboses in both lower limbs, and pulmonary embolism. Computed tomographic pulmonary angiography demonstrated a pulmonary artery aneurysm and a transoesophageal echocardiogram revealed a right ventricular thrombus. After receipt of medical treatment, the pulmonary artery aneurysm and intracardiac thrombus showed partial and complete radiological resolution, respectively.




PHJ Yeung、KKP Lau、A Lac

貝賽特氏症(Behçet’s disease)患者很少同時出現肺動脈瘤及心腔內血栓。本文報告一名伊拉克籍39 歲男性因不能癒合的口腔潰瘍,雙腿出現復發性靜脈血栓形成及肺栓塞,而被診斷為患有貝賽特氏 症。CT肺血管造影顯示有肺動脈瘤,經食管超聲心動圖發現有右心室血栓。治療後肺動脈瘤有部分 減退的跡象,而心腔內血栓則完全消退。