Abstract
A 53-year-old man with Behçet's disease was admitted to our hospital for investigation of back and lower abdominal pain. Computed tomography (CT) showed a projecting saccular aneurysm below the right renal artery. We placed a stent-graft just below the right renal artery, successfully excluding the abdominal aortic aneurysm (AAA). His C-reactive protein level and white blood cell count remained elevated after stent-grafting. About 5 months later, he was readmitted with recurrent back and lower abdominal pain and CT showed progression of the AAA. Thus, we performed straight grafting using a woven Dacron graft just below the right renal artery. The patient had an uneventful postoperative course. We discuss the controversial issue of treating AAA in patients with Behçet's disease, focusing on the indications and timing of surgery.
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SS Nitecki A Ofer T Karram H Schwartz A Engel A Hoffman (2004) ArticleTitleAbdominal aortic aneurysm in Behçet's disease: new treatment options for an old and challenging problem Isr Med Assoc J 6 152–5 Occurrence Handle15055270
H Tuzun K Besirli A Sayin FS Vural V Hamuryudan N Hizli et al. (1997) ArticleTitleManagement of aneurysms in Behçet's syndrome: an analysis of 24 patients Surgery 121 150–6 Occurrence Handle9037226 Occurrence Handle10.1016/S0039-6060(97)90284-1 Occurrence Handle1:STN:280:ByiC1cfpsFA%3D
R Ascione P Modi D Triggiani G Iannelli N Spampinato (2002) ArticleTitleDetection of postoperative pseudoaneurysms following abdominal aortic aneurysm repair in Behçet's disease by MRA J Cardiovasc Surg (Torino) 43 251–4 Occurrence Handle1:STN:280:DC%2BD387lsVyisQ%3D%3D
ZH Iscan KM Vural M Bayazit (2005) ArticleTitleCompelling nature of arterial manifestations in Behçet disease J Vasc Surg 41 53–8 Occurrence Handle15696044 Occurrence Handle10.1016/j.jvs.2004.09.018
S Erpenbach IP Arlart C Tremmel-Lehnert T Hupp (2001) ArticleTitleAbdominal aortic aneurysm in Behçet's disease: treatment with endovascular stent graft Eur Radiol 11 2539–42 Occurrence Handle11734956 Occurrence Handle10.1007/s003300100910 Occurrence Handle1:STN:280:DC%2BD3MnovVagsA%3D%3D
MA Vasseur S Haulon JP Beregi T Le Tourneau A Prat H Warembourgh (1998) ArticleTitleEndovascular treatment of abdominal aneurysmal aortitis in Behçet's disease J Vasc Surg 27 974–6 Occurrence Handle9620153 Occurrence Handle10.1016/S0741-5214(98)70281-2 Occurrence Handle1:STN:280:DyaK1c3otFClsQ%3D%3D
AG Little CK Zarins (1982) ArticleTitleAbdominal aortic aneurysm and Behçet's disease Surgery 91 359–62 Occurrence Handle6460336 Occurrence Handle1:STN:280:Bi2C38bmsl0%3D
F Numano (2000) ArticleTitleVasa vasoritis, vasculitis and atherosclerosis Int J Cardiol 75 Suppl 1 S1–8 Occurrence Handle10980330 Occurrence Handle10.1016/S0167-5273(00)00196-0 Occurrence Handle1:STN:280:DC%2BD3cvpsFKrtw%3D%3D
F Schneider P Gouny O Van Laere V Duedal O Nussaume (2002) ArticleTitleVascular complications after surgical repair of aneurysms in Behçet's disease J Cardiovasc Surg (Torino) 43 501–5 Occurrence Handle1:STN:280:DC%2BD38znvVCmuw%3D%3D
KB Kwon WH Shim YS Yoon LB Kwon D Choi Y Jang et al. (2003) ArticleTitleEndovascular therapy combined with immunosuppressive treatment for pseudoaneurysms in patients with Behçet's disease J Endovasc Ther 10 75–80 Occurrence Handle10.1583/1545-1550(2003)010<0075:ETCWIT>2.0.CO;2
JH Park JW Chung JH Joh SY Song SJ Shin KS Chung et al. (2001) ArticleTitleAortic and arterial aneurysms in Behcet disease: management with stent-grafts — initial experience Radiology 220 745–50 Occurrence Handle11526277 Occurrence Handle1:STN:280:DC%2BD3MvotlagtA%3D%3D
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Ishikawa, S., Kawasaki, A., Suzuki, Y. et al. Progression of Abdominal Aortic Aneurysm After Endovascular Stent-Grafting in a Patient with Behçet's disease: Report of a Case. Surg Today 37, 82–85 (2007). https://doi.org/10.1007/s00595-006-3310-x
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DOI: https://doi.org/10.1007/s00595-006-3310-x