An Unusual Cause of Complete Atrioventricular Block and Aortic Regurgitation

Abstract

<p>We report a rare case of Behçet's disease (BD) causing aortic regurgitation and complete atrioventricular block (AVB) in conjunction with pacemaker pocket infection. We emphasize the need to consider the possibility of BD in young and middle-aged patients who present with aortic valve prolapse with regurgitation combined with complete AVB with elevated inflammatory markers.</p><p>Behçet's disease (BD) is a progressive diffuse inflammatory vasculitis characterized by recurrent oral and genital ulcers and ocular inflammation. Cardiac involvement is a rare complication of BD. Two cases of BD causing aortic regurgitation (AR) as well as complete atrioventricular block (AVB) have been reported previously; however, in this case report, we describe a case in which BD not only caused AR and complete AVB, but also coexisted with pacemaker pocket infection.<br></p>