Journal of the American Society of Echocardiography
Volume 22, Issue 11 , Pages 1275-1278 , November 2009

Echocardiographic Findings and Cardiac Surgical Implications of Aortitis and Valvulitis in Behçet's Disease

  • Athena Poppas, MD, FASE

      Affiliations

    • Section of Cardiology, Department of Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
    • Corresponding Author InformationReprint requests: Athena Poppas, MD, Brown University, Warren Alpert School of Medicine, Department of Medicine, Section of Cardiology, 593 Eddy Street, Main Building, Room 209, Providence, RI 02903.
    • ,
  • Michael Coady, MD

      Affiliations

    • Section of Cardiovascular Surgery, Department of Surgery, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island

References 

  1. Song JK, Jeong YH, Kang DH, Song JM, Song H, Choo SJ, et al. Echocardiographic and clinical characteristics of aortic regurgitation because of systemic vasculitis. J Am Soc Echocardiogr. 2003;16:850–857
  2. Sakane T, Takeno M, Suzuki N, Inaba G. Behçet's disease. N Engl J Med. 1999;341:1284–1291
  3. Seyahi E, Fresko I, Seyahi N, Ozyazgan Y, Mat C, Hamuryudan V, et al. The long-term mortality and morbidity of Behcet syndrome: a 2-decade outcome survey of 387patients followed at a dedicated center. Medicine. 2003;82:60–76
  4. Seyahi E, Melikoglu M, Yazici H. Clinical features and diagnosis of Behçet's syndrome. Int J Adv Rheumatol. 2007;5:8–13
  5. International Study Group for Behçet's Disease. Criteria for diagnosis of Behçet's disease. Lancet. 1990;335:1078–1080
  6. Han JK, Kim HK, Cho GY, Kim MA, Sohn DW, Park YB. Behçet's disease as a frequently unrecognized cause of aortic regurgitation: suggestive and misleading echocardiographic findings. J Am Soc Echocardiogr. 2009;22:1269–1274
  7. Ando M, Kosakai Y, Okita Y, Nakano K, Kitamura S. Surgical treatment of Behçet's disease involving aortic regurgitation. Ann Thorac Surg. 1999;68:2136–2140
  8. Jeong DS, Kim KH, Kim JS, Ahn H. Long-term experience of surgical treatment for aortic regurgitation attributable to Behçet's disease. Ann Thorac Surg. 2009;87:1775–1782
  9. Morelli S, Perrone C, Ferrante L, Sgreccia A, Priori R, Voci P, et al. Cardiac involvement in Behçet's disease. Cardiology. 1997;88:513–517
  10. Sarica-Kucukoglu R, Akdag-Kose A, Kayabal IM, Yazganoglu KD, Disci R, Erzengin D, et al. Vascular involvement in Behçet's disease: a retrospective analysis of 2319 cases. Int J Dermatol. 2006;45:919–921
  11. Koc Y, Gullu I, Akpek G, Akpolat T, Kansu E, Kiraz S, et al. Vascular involvement in Behçet's disease. J Rheumatol. 1992;19:402–410
  12. Iscan ZH, Vural KM, Bayazit M. Compelling nature of arterial manifestations in Behcet disease. J Vasc Surg. 2005;41:53–58
  13. Gürgün C, Ercan E, Ceyhan C, Yavuzgil O, Zoghi M, Aksu K, et al Cardiovascular involvement in Behçet's disease. Jpn Heart J. 2002;43:389–398
  14. Ikonomidis I, Lekakis J, Stamatelopoulos K, Markomihelakis N, Kaklamanis PG, Mavrikakis M. Aortic elastic properties and left ventricular diastolic function in patients with Adamantiades-Behçet's disease. J Am Coll Cardiol. 2004;43:1075–1081
  15. Chiari E, Fracassi F, D'Aloia A, Vizzardi E, Zanini G, Rocca P, et al Right ventricular thrombus and pulmonary thromboembolism/thrombosis in Behçet's disease: a case report. J Am Soc Echocardiogr. 2008;21:1079
  16. Ozer N, Ciftçi O, Demirci M, Atalar E, Ovünç K, Aksöyek S, et al Right ventricular outflow tract thrombus in a case of Behçet's disease. J Am Soc Echocardiogr. 2005;18:380–382
  17. Houman M, Ksontini I, Ben Ghorbel I, Lamloum M, Braham A, Mnif E, et al. Association of right heart thrombosis, endomyocardial fibrosis, and pulmonary artery aneurysm in Behçet's disease. Eur J Intern Med. 2002;13:455
  18. Calamia KT, Schirmer M, Melikoglu M. Major vessel involvement in Behcet disease. Curr Opin Rheumatol. 2005;17:1–8
  19. Huong DL, Wechsler B, Papo T, de Zuttere D, Bletry O, Hernigou A, et al. Endomyocardial fibrosis in Behçet's disease. Ann Rheum Dis. 1997;56:205–208
  20. Bozkurt A, Akpinar O, Uzun S, Akman A, Arslan D, Birand A. Echocardiographic findings in patients with Behçet's disease. Am J Cardiol. 2006;97:710–715
  21. Ozkan M, Emel O, Ozdemir M, Yurdakul S, Koçak H, Ozdoğan H, et al. M-mode, 2-D and Doppler echocardiographic study in 65 patients with Behçet's syndrome. Eur Heart J. 1992;13:638–641
  22. Yavuz B, Sahiner L, Akdogan A, Abali G, Aytemir K, Tokgozoglu L, et al. Left and right ventricular function is impaired in Behçet's disease. Echocardiography. 2006;23:723–728
  23. Gemici K, Baran I, Gullulu S, Kazazoglu AR, Cordan J, Ozer Z. Evaluation of diastolic dysfunction and repolarization dispersion in Behçet's disease. Int J Cardiol. 2000;73:143–148
  24. Tunc SE, Dogan A, Gedikli O, Arslan C, Sahin M. Assessment of aortic stiffness and ventricular diastolic functions in patients with Behçet's disease. Rheumatol Int. 2005;25:447–451
  25. Shiran A, Zisman D, Karkabi B, Safadi T, Aravot D, Bitterman H, et al. Behçet's aortitis mimicking aortic valve endocarditis with subaortic complications. J Am Soc Echocardiogr. 2006;19:578;e1-4
  26. Lee CW, Lee J, Lee WK, Lee CH, Suh CH, Song CH, et al. Aortic valve involvement in Behçet's disease. A clinical study of 9 patients. Korean J Intern Med. 2002;17:51–56
  27. Marzban M, Mandegar MH, Karimi A, Abbasi K, Movahedi N, Navabi MA, et al. Cardiac and great vessel involvement in “Behçet's disease.”. J Card Surg. 2008;23:765–768
  28. Erer D, Iriz E. Vascular surgery in Behçet's disease. Ann Thorac Surg. 2008;85:1504–1506

PII: S0894-7317(09)00860-8

doi: 10.1016/j.echo.2009.09.017

Journal of the American Society of Echocardiography
Volume 22, Issue 11 , Pages 1275-1278 , November 2009

Article Tools