Heart 1998;80:200-201 ( August )
Case report
Aorto-atrial fistula without aneurysm formation in Behçet's
disease
a Department of
Cardiac Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12
6BA, UK, b Department of Cardiology, Royal Victoria
Hospital, c Department of
Pathology, Royal Victoria Hospital
Correspondence to: Mr MacGowan.
Accepted for publication 6 January 1998
Cardiac disease is known to occur in patients with the
multisystemic inflammatory disorder Behçet's disease. An
aorto-atrial fistula secondary to Behçet's disease without a sinus
of Valsalva aneurysm has not been previously reported. A 30 year old
man with a four year history of symptoms and signs consistent with
Behçet's disease presented with an aorto-atrial fistula and a
large left to right shunt. At operation the defect was repaired with a
bovine pericardial patch. There was no evidence of aneurysm formation. The patient made a good recovery and was well at one year follow up.
© 1998 by Heart
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