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J Thorac Cardiovasc Surg 2004;127:590-592
© 2004 The American Association for Thoracic Surgery

Brief communication

Pulmonary artery pseudoaneurysm in a patient with Behçet disease

^a Department of Cardiovascular Thoracic Surgery, Inha University Hospital, College of Medicine, Inha University, Incheon, South Korea
^b Department of Pathology, Inha University Hospital, College of Medicine, Inha University, Incheon, South Korea
^c Department of Internal Medicine, Inha University Hospital, College of Medicine, Inha University, Incheon, South Korea

Received for publication August 29, 2003; accepted for publication September 30, 2003.

^* Address for reprints: Yong Han Yoon, MD, Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, 7-206, 3-ga, Shinheung-dong, Jung-gu, Incheon 400-103, South Korea
yoonkwon@inha.ac.kr

The first 20% of the full text of this article appears below.

Behçet disease is a rare and chronic disorder of unknown cause characterized by the inflammation of blood vessels; pulmonary involvement occurs in only about 1% to 7% of patients.^1-4 Of the pulmonary manifestations, the pulmonary arteries are second to the aorta as the most common site of arterial involvement. Pulmonary artery aneurysm, in particular, has a poor prognosis and is one of the leading causes of death in patients with Behçet disease. Mean survival after the onset of hemoptysis was reported to be about 10 months in one study of patients with Behçet disease and pulmonary artery aneurysm.⁵ We report a case involving a young female patient who presented with a variety of symptoms, leading to a diagnosis of Behçet disease and treatment for pulmonary artery pseudoaneurysm after appropriate investigations and surgical intervention. After a right lower lobe lobectomy, no further hemoptysis and skin lesions have occurred 20 months postoperatively.

Clinical summary

A 35-year-old woman was admitted to Inha University Hospital, Incheon, Korea, because of high fever and cough for the previous 2 months. For the previous 3 years, she had recurrent episodes of oral ulceration. A chest radiograph taken 2 months before admission showed a mass-like lesion in the right lower lung field. Physical examination revealed several small, ulcerated lesions on her external genitalia. However, her breath sounds were clean, and heart sounds were regular and without murmur. Pathergy test . . . [Full Text of this Article]

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