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KMID : 0390620100180030108
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Journal of Cardiovascular Ultrasound
2010 Volume.18 No. 3 p.108 ~ p.111
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Cardiovascular Behcet’s Disease Presenting as a Subepicardial Hematoma: An Uneventful 2-Year Clinical Course
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Lee Sun-Hwa
Chae Jei-Keon
Choi Jong-Bum
Lee Sang-Rok
Rhee Kyoung-Suk
Kim Won-Ho
Ko Jae-Ki
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Abstract
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Cardiovascular involvement in Behcet’s disease is not uncommon and could be life-threatening. We describe here a 28-yearold man, who developed sudden onset chest pain during warfarinization due to deep vein thrombosis. Echocardiography and computed tomography showed a 60×60 mm-sized hematoma in the pericardial space compressing the right heart. Coronary angiography showed totally occluded proximal right coronary artery. The hematoma was located at the subepicardial plane of the right atrium on surgical view and successfully evacuated. Follow-up echocardiography revealed complete resolution of the hematoma. He is doing well for 24 months after surgery.
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KEYWORD
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Behcet’s disease, Hematoma, Coronary artery
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