The role of two dimensional speckle -tracking echocardiography in a patient with Behçet's disease

Abstract

stenosis, mild mitral regurgitation, MVA was calculated as 1.2 cm 2 with planimetry and 1.35 cm 2 with Doppler. The maximum and mean gradients across the mitral valve were 19 and 11 mmHg respectively. TEE revealed a thrombus at LAA base, not protruding into LA and measured as 1.2x1.5 cm. The Wilkins valve score was calculated as 9 (Fig. 3). The patient refused to undergo open-heart surgery for mitral valve replacement. Based on the success of the previous case, and the same type of thrombus, which was restricted to the base of the LAA, PMBV was offered and the risk of the procedure was explained in detail. PMBV was performed with the help of TTE. After completion of the procedure without any complication, echocardiographic parameters were as follows, MVA was 1.7cm 2 , systolic PAP was 35 mmHg, maximum and mean gradients across the valve were 10 mmHg and 5 mmHg respectively.

Vascular Manifestations of Behçet’s Disease

“…Cardiac involvement is relatively uncommon [97]. The heart and great vessels are not primary targets of BD, but although not well recognized, arterial or cardiac involvement are life-threatening with associated strong prognostic implications in BD [3].…”