Clinical analysis of misdiagnosis of Behcet's disease with echocardiography / 中国医学影像技术

ABSTRACT

Objective: To analyze the echocardiographic features of Behcet's disease misdiagnosed as infective endocarditis and the causes of misdiagnosis. Methods: Clinical data of patients with Behcet's disease involving cardiovascular system were analyzed retrospectively and the clinical and echocardiographic features of these patients were summarized. Results: Among the 12 patients with Behcet's disease, 9 cases were preoperative cardiac surgery patients and 3 cases were postoperative cardiac surgery patients. All the 9 patients showed severe aortic regurgitation, including 3 cases with aortic perivalvular abscess, 4 cases with aortic valve vegetation, 2 cases with aortic perivalvular abscess and vegetation formation. Perivalvular leakage of aortic valve was found in 3 patients after cardiac surgery, including 1 case of aortic valve vegetation formation, 1 case of perivalvular abscess, 1 case of perivalvular abscess and vegetation formation. Conclusion: It is difficult to diagnose Behcet's disease combined with aortic valve insufficiency with vegetation-like mobile lesions, an echo-free space mimicking aortic root abscess. If the patients with history of recurrent oral aphthosis, genital aphthosis or ocular lesions, the possibility of cardiac Behcet's disease should be suggested.