Eur J Cardiothorac Surg 2003;24:1033
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Bilateral giant pulmonary artery aneurysms early in Behçet's disease
Mehmet Sirmal
a*,
H. Vefa Alo
lub,
Levent Özçakarc,
Sadi Kayaa
a Department of Thoracic Surgery, Atatürk Training and Research Hospital for Chest Disease and Chest Surgery, Keçiören, Ankara, Turkey
b Department of Radiology, Atatürk Training and Research Hospital for Chest Disease and Chest Surgery, Keçiören, Ankara, Turkey
c Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey
Received 19 July 2003;
received in revised form 4 September 2003;
accepted 9 September 2003.
* Corresponding author. Tel.: +90-312-380-1031; fax: +90-312-256-8136
e-mail: mehmetsirmali{at}yahoo.com
Key Words: Behçet's disease • Pulmonary artery aneurysm
A 23-year-old young man was referred to our department with the suspect diagnosis of bilateral hydatid cysts in the lungs. His current complaint was hemoptysis but on detailed questioning, recurrent episodes of oral and genital aphthae for the last 1 year were disclosed. Bilateral giant aneurysms were detected in the pulmonary arteries (Figs. 1 and 2)
. With the diagnosis of Behçet's disease, he was given a combination regimen of cyclophosphamide, prednisolone, and colchicine. During his follow up, any episodes of hemoptysis or aphthae have not been observed and the aneurysms were planned to be followed by computed tomography every 6 months.
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Fig. 1. Computed tomography of the thorax demonstrating a 5x4 cm aneurysm in the right descending pulmonary artery with a peripheral thrombus, and a 5x6 cm aneurysm in the left pulmonary artery with a posterolateral crescentic mural thrombus.
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Fig. 2. Magnetic resonance angiography -T1 weighted coronal image-depicting the aneurysms in the pulmonary arteries bilaterally at the hilar level.
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