Behcet's disease (BD) is a chronic relapsing systemic vasculitis in which o
rogenital ulceration is a prominent feature. The disease affects many syste
ms and causes hypercoagulability. We present a 27-year-old male patient who
exhibited widespread great vessel thrombosis including right atrial and ve
ntricular thrombi in the setting of right-sided infectious endocarditis and
orogenital aphthous ulcerations and erythema nodosum due to BD. We reviewe
d the enigmatic prothrombotic state of BD, and discuss our prior experience
s in this field.