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Postinflammatory rupture of right coronary artery ostium complicating Beh?et disease

机译:Postinflammatory rupture of right coronary artery ostium complicating Beh?et disease

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Abstract Introduction Beh?et 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.

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