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Surgical Treatment of Angio-Behçet

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Behçet's Syndrome

Part of the book series: Rare Diseases of the Immune System ((RDIS))

Abstract

Angio-Behçet patients are at risk for multiple vessel-related complications including thromboses, stenoses, occlusions, and aneurysms. Venous involvement is predominant in comparison with arterial involvement (4:1) [11]. Arterial lesions, however, pose a greater risk and are associated with a big impact on the prognosis due to the severity of complications [30]. Unique characteristics of the underlying disease process are the abating disease course and the absence of accelerated atherosclerosis. Recurrent vascular episodes are quite common with incidence of up to 23 % after 2 years and up to 40 % at 5 years [22]. Calamia et al. have proposed a classification of the vascular lesions of the great vessels (Table 20.1) [6].

Table 20.1 Classification of the vascular lesions of the great vessels
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Bibliography

  1. Agrawal S, Jagadeesh R, Aggarwal A et al (2007) Aneurysm of the internal carotid artery in a female patient of Behcet’s disease: a rare presentation. Clin Rheumatol 26:994–995

    Article  PubMed  Google Scholar 

  2. Alpagut U, Ugurlucan M, Dayioglu E (2007) Major arterial involvement and review of Behcet’s disease. Ann Vasc Surg 21(2):232–239

    Article  PubMed  Google Scholar 

  3. Bayraktar Y, Balkanci F, Bayraktar M et al (1997) Budd- Chiari syndrome: a common complication of Behçet’s disease. Am J Gastroenterol 92:858–862

    PubMed  CAS  Google Scholar 

  4. Bouarhroum A, Sedki N, Bouziane Z et al (2006) Extracranial carotid aneurysm in Behçet disease: report of two new cases. J Vasc Surg 43:627–630

    Article  PubMed  Google Scholar 

  5. Bozkurt AK (2002) Letters to the editor:embolisation in Behçet’s disease. Thorax 57:469–470. doi:10.1136/thorax.57.5.469-a

    Article  PubMed  CAS  Google Scholar 

  6. Calamia KT, Schirmer M, Melikoglu M (2005) Major vessel involvement in Behcet disease. Curr Opin Rheumatol 17:1–8

    Article  PubMed  Google Scholar 

  7. Calamia KT, Schirmer M, Melikoglu M (2011) Major vessel involvement in Behçet’s disease: an update. Curr Opin Rheumatol 23(1):24–31

    Article  PubMed  Google Scholar 

  8. Chae EJ, Do KH, Seo JB et al (2008) Radiologic and clinical findings of Behçet disease: comprehensive review of multisystemic involvement. RadioGraphics. doi:10.1148/r.e31

    PubMed  Google Scholar 

  9. Dogan SM, Aydin M, Gursurer M et al (2006) A giant aneurysm of the left main coronary artery in a patient with Behcet’s disease. Tex Heart Inst J 33:269

    PubMed  Google Scholar 

  10. Düzgün N, Ateş A, Aydintuğ OT, Demir Ö, Ölmez Ü (2006) Characteristics of vascular involvement in Behçet’s disease. Scand J Rheumatol 35(1):65–68

    Article  PubMed  Google Scholar 

  11. El-Ramahi KM, Al-Dalaan A, Al-Balaa S, et al. (1993) Vascular involvement in Beh~et’s disease. In: Wechsler B, Godeau P (eds). Behcet’s disease. Excerpta Medica, Amsterdam, p 531

    Google Scholar 

  12. Fukai I, Masaoka A, Yosuke Y et al (1995) Rupture of congenital peripheral pulmonary aneurysm. Ann Thorac Surg 59:528–530

    Article  PubMed  CAS  Google Scholar 

  13. Goz M, Cakir O, Eren MN (2007) Huge popliteal arterial aneurysms in Behcet’s syndrome: is ligation an alternative treatment? Vascular 15:46–48

    Article  PubMed  Google Scholar 

  14. Gürer O, Yapici F, Enc Y et al (2005) Spontaneous pseudoaneurysm of the vertebral artery in Behçet’s disease. Ann Vasc Surg 19:280–283

    Article  PubMed  Google Scholar 

  15. Hamuryudan V, Oz B, Tuzun H et al (2004) The menacing pulmonary artery aneurysms of Behcet’s syndrome. Clin Exp Rheumatol 22(4 Suppl 34):S1–S3

    PubMed  CAS  Google Scholar 

  16. Hatemi G, Silman A, Bang D, Bodaghi B, Chamberlain AM, Gul A, Houman MH, Kötter I, Olivieri I, Salvarani C, Sfikakis PP, Siva A, Stanford MR, Stübiger N, Yurdakul S, Yazici H (2008) EULAR recommendations for the management of Behçet disease. Ann Rheum Dis 67(12): 1656–1662 (Published Online First: 31 January 2008). doi:10.1136/ard.2007.080432

    Google Scholar 

  17. Hendaoui L. et al (2012) Imaging features of Behçet’s disease. Systemic vasculitis:137–173

    Google Scholar 

  18. Hosaka A, Miyata T, Shigematsu H, Shigematsu K, Okamoto H, Ishii S et al (2005) Long-term outcome after surgical treatment of arterial lesions in Behçet disease. J Vasc Surg 42:116–121

    Article  PubMed  Google Scholar 

  19. Iyisoy A, Kursaklioglu H, Kose S et al (2004) Acute myocardial infarction and left subclavian artery occlusion in Behcet’s disease: a case report. Mt Sinai J Med 71:330–334

    PubMed  Google Scholar 

  20. Kim WH, Choi D, Kim JS et al (2009) Effectiveness and safety of endovascular aneurysm treatment in patients with vasculo-Behcet disease. J Endovasc Ther 16:631–636

    Article  PubMed  Google Scholar 

  21. Ko GY, Byun JY, Choi BG et al (2000) The vascular manifestations of Behçet’s disease: angiographic and CT findings. Br J Radiol 73:1270–1274

    PubMed  CAS  Google Scholar 

  22. Melikoglu M, Kural-Seyahi E, Tascilar K et al (2008) The unique features of vasculitis in Behçet’s syndrome. Clin Rev Allergy Immunol 35:40–46

    Article  PubMed  CAS  Google Scholar 

  23. Mogulkoc N, Burgess MI, Bishop PW (2000) Intracardiac thrombus in Behçet’s disease: a systematic review. Chest 118:479–487

    Article  PubMed  CAS  Google Scholar 

  24. Mouas H, Lortholary O, Lacombe P et al (1996) Embolization of multiple pulmonary arterial aneurysms in Behcet’s disease. Scand J Rheumatol 25:58–60

    Article  PubMed  CAS  Google Scholar 

  25. Nitecki SS, Ofer A, Karram T, Schwartz H, Engel A, Hoffman A (2004) Abdominal aortic aneurysm in Behçet’s disease: new treatment options for an old and challenging problem. Isr Med Assoc J 6:152–155

    PubMed  Google Scholar 

  26. Ohshima T, Miyachi S, Hattori K et al (2008) A case of giant common carotid artery aneurysm associated with vascular Behcet disease: successfully treated with a covered stent. Surg Neurol 69:297–301

    Article  PubMed  Google Scholar 

  27. Ozeren M, Dogan OV, Dogan S et al (2004) True and pseudo aneurysms of coronary arteries in a patient with Behcet’s disease. Eur J Cardiothorac Surg 25:465–467

    Article  PubMed  Google Scholar 

  28. Owlia MB, Mehrpoor G (2012) Behcet’s disease: new concepts in cardiovascular involvements and future direction for treatment. ISRN Pharmacol 2012: 760484 (Published online 2012 March 8). doi: 10.5402/2012/760484

  29. Posacioglu H, Apaydin AZ, Parildar M et al (2005) Large pseudoaneurysm of the carotid artery in Behcet’s disease. Tex Heart Inst J 32:95–98

    PubMed  Google Scholar 

  30. Saadoun, D., Wechsler, B., Desseaux, K., Le Thi Huong, D., Amoura, Z., Resche-Rigon, M., and Cacoub, P. (2010). Mortality in Behçetʼs disease. Arthritis & Rheumatism 62, 2806-2812. Available at: http://www.ncbi.nlm.nih.gov/pubmed/20496419

  31. Sarica-Kucukoglu R, Akdag-Kose A, Kayabal IM et al (2006) Vascular involvement in Behcet’s disease: a retrospective analysis of 2319 cases. Int J Dermatol 45:919–921

    Article  PubMed  Google Scholar 

  32. Tunaci A, Berkmen YM, Gökmen E (1995) Thoracic involvementin Behçet’s disease: pathologic, clinical, and imaging features. AJR 164:51–56

    Article  PubMed  CAS  Google Scholar 

  33. Tuzun H, Hamuryudan V, Yildirim S et al (1996) Surgical therapy of pulmonary arterial aneurysms in Behçet’s syndrome. Ann Thorac Surg 61:733

    Article  PubMed  CAS  Google Scholar 

  34. Tuzun H, Besirli K, Sayin A, Vural FS, Hamuryudan V, Hizli N et al (1997) Management of aneurysms in Behçet’s syndrome: an analysis of 24 patients. Surgery 121:150–156

    Article  PubMed  CAS  Google Scholar 

  35. Uzun O, Akpolat T, Erkan L (2005) Pulmonary vasculitis in Behçet disease. Chest 127:2243–2253

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Vascular Surgery department, Piazzale Ricchi, 1, 09134, Cagliari, Sardinia, Italy

    Stefano Camparini & Genadi Genadiev

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  1. Stefano Camparini
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  2. Genadi Genadiev
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Correspondence to Genadi Genadiev .

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Editors and Affiliations

  1. SOD Patologia Medica, Center for Autoimmune Systemic Diseases, Behçet Center and Lupus Clinic - AOU Careggi, Florence, Italy

    Lorenzo Emmi

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Camparini, S., Genadiev, G. (2014). Surgical Treatment of Angio-Behçet. In: Emmi, L. (eds) Behçet's Syndrome. Rare Diseases of the Immune System. Springer, Milano. https://doi.org/10.1007/978-88-470-5477-6_20

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  • DOI: https://doi.org/10.1007/978-88-470-5477-6_20

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