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Cardiovascular Behcet Disease: The Variable Findings of Rare Complications With CT Angiography and Conventional Angiography and Its Interventional Management

Cho, Young Kwon MD*; Lee, Whal MD*; Choi, Sang Il MD; Jae, Hwan Jun MD*; Chung, Jin Wook MD*; Park, Jae Hyung MD*

Journal of Computer Assisted Tomography: September-October 2008 - Volume 32 - Issue 5 - p 679-689
doi: 10.1097/RCT.0b013e3181573282
Cardiovascular Imaging: Review Article

Unusual radiological manifestations of rare complications of cardiovascular Behcet disease (BD) are the following: (a) aneurysm and (b) occlusion in the aorta and its major branches, (c) pseudoaneurysms on the aortic root and coronary artery, and recurrent valvular dehiscence in the heart, (d) venous thrombosis in the deep and superficial venous system and vena cava. The initial exact diagnosis of cardiovascular BD has been extremely difficult for these rare complicated findings, especially in the absence of the florid clinical manifestations of BD. Radiologist should be aware of possibility of cardiovascular BD via familiarity with its rare imaging features, including computed tomographic angiography (and its 3-dimensional reconstructed images), conventional angiography, and with the clinical characteristics of BD because of high mortality of cardiovascular BD.

From the *Department of Radiology, Seoul National University College of Medicine, The Institute of Radiation Medicine, Clinical Research Institute, Seoul National University Hospital, and †Department of Radiology, Seoul National University Bundang Hospital, Seoul, Korea.

Received for publication May 3, 2007; accepted August 1, 2007.

Reprints: Whal Lee, MD, Department of Radiology, Seoul National University College of Medicine, 28 Yongon-Dong, Chongno-Gu, Seoul 110-744, Korea.

© 2008 Lippincott Williams & Wilkins, Inc.