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We report a 28-year-old patient who was admitted to our hospital with multiple sudden syncope. Cardiovascular risk factors such as hypertension (HT), diabetes and obesity were not found in her. Preoperatively, imaging examinations suggested thrombosis of the inferior and superior vena cava and right heart combined with coronary artery aneurysm. The patient was finally diagnosed with a huge coronary artery aneurysm proximal to the left anterior descending artery. Syncope is considered to be caused right ventricular outflow tract obstruction. The patient received a successful aneurysm resection and had an uneventful postoperative recovery.<\/jats:p>","DOI":"10.1186\/s12872-023-03501-7","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T06:03:27Z","timestamp":1694757807000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Giant coronary aneurysm of Behcet\u2019s disease with sudden syncope: a case report"],"prefix":"10.1186","volume":"23","author":[{"given":"Jingwei","family":"Feng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Miao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaoji","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,9,15]]},"reference":[{"key":"3501_CR1","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1007\/s12016-021-08864-3","volume":"61","author":"J Chen","year":"2021","unstructured":"Chen J, Yao X. 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A giant aneurysm of the left anterior descending coronary artery in the setting of Behcet\u2019s disease. Cardiovasc J Afr. 2020;31:e1\u2013e3.","journal-title":"Cardiovasc J Afr"},{"key":"3501_CR10","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.jvs.2011.07.049","volume":"55","author":"H Tuzun","year":"2012","unstructured":"Tuzun H, Seyahi E, Arslan C, et al. Management and prognosis of nonpulmonary large arterial disease in patients with Behcet disease. J Vasc Surg. 2012;55:157\u201363.","journal-title":"J Vasc Surg"},{"key":"3501_CR11","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1177\/1076029607302437","volume":"13","author":"ZI Yakut","year":"2007","unstructured":"Yakut ZI, Odev K. Pulmonary and cardiac involvement in Behcet disease: 3 case reports. 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Copy of the written consent is available for review by the editor of this journal.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"463"}}