CORONARY ANOMALY IN BEHCETS-SYNDROME

A 39-year-old man who was known to have Behcet's syndrome suffered an acute posterior-wall myocardial infarction. The infarction occurred 13 years after the onset of the Behcet's disease, which had been marked by recurrent chorioretinitis and thrombosis of the retinal veins of bo th eyes. Coronary arteriography showed occlusion of the circumflex bra nch and an aneurysmal fistula between the left main branch and the pul monary artery. The other coronary vessels were normal. A search for va scular risk factors revealed only cigarette smoking. Under a non-invas ive treatment regimen, no complications of the mycoardial infarction w ere seen. During a 2-year medical follow-up, the patient was asymptoma tic and did not show any further signs of Behcet's disease activity.