Uğur Canpolat Ergün Barış Kaya Ali Akdoğan
#Kudret Aytemir
Departments of Cardiology,
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Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
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with Behçet’s disease
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A 32-year-old male pa- tient with Behçet’s Dis- ease (BD) was consulted upon atypical chest pain.
He had been diagnosed with BD 8 years ago (re- current oral and genital ulcers, erythema nodo- sum, positive pathergy test, pulmonary embo- lism) and was treated with high-dose corticosteroids, cyclophosphomide and colchicine. Due to abdominal swelling, abdominal sonography and computerized to- PRJUDSK\ WKDW ZDV SHUIRUPHG VKRZHG ¿QGLQJV FRP- patible with Budd-Chiari syndrome (BCS) (Fig. A).
Electrocardiography revealed sinus rhythm and no ischemic changes. Transthoracic echocardiography demonstrated normal left ventricular systolic func- tion with normal segmentary wall motion and valvu- lar functions. Multidetector computerized tomography coronary angiography revealed patent coronary ar- WHULHVDQGPXOWLSOH¿VWXODHEHWZHHQWKHOHIWFRURQDU\
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A
B C D
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Figures– (A) Abdominal com- puterized tomography show- ing occluded inferior vena cava. Multidetector computer- ized coronary angiography re- vealed patent coronary arter- ies; (B) right coronary artery, (C) left anterior descending (LAD) artery, (D) FLUFXPÁH[
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