Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 9 4 2015 10 13 179 182 EN Seyed Ebrahim Kassaian Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Kyomars Abbasi Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Mahmood Shirzad Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Maryam Sotoudeh-Anvari Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Maryam Shahrzad Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Behnam Molavi Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 13 2015 10 13 Behcet’s disease is a rare immune mediated systemic vasculitis which besides it’s more frequent involvement of eyes and skin,   sometimes present with aortic pseudo aneurysm and more rarely cardiac inflammatory masses.A 51-year-old patient with Behçet’s Disease presented with two symptomatic aortic pseudoaneurysms concomitant with a right atrial mass. Computed tomography (CT) revealed one supra-celiac and another infrarenal aortic pseudoaneurysms. Echocardiography showed a large mobile mass in the right atrium. Both pseudoaneurysms were successfully excluded simultaneously via endovascular approach with Zenith stent-grafts, and the atrial mass was surgically removed 10 days later. Post-implant CT showed successful exclusion of both pseudo-aneurysms, patency of all relevant arteries, and patient is now asymptomatic and has returned to normal lifestyle. Multiple pseudoaneurysms concomitant with a right atrial mass can be an initial manifestation of Behçet’s disease. Endovascular repair can be a good treatment option for the pseudoaneurysms. https://rhythm.tums.ac.ir/index.php/jthc/article/view/353 https://rhythm.tums.ac.ir/index.php/jthc/article/download/353/346