Progression of Abdominal Aortic Aneurysm After Endovascular Stent-Grafting in a Patient with Behçet's disease: Report of a Case

Ishikawa, Susumu; Kawasaki, Akio; Suzuki, Yoshitaka; Neya, Kazuo; Wada, Shinichi; Kugawa, Satoshi; Hayama, Tamuro; Ueda, Keisuke

doi:10.1007/s00595-006-3310-x

Cited by 16 publications

(10 citation statements)

References 8 publications

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“…Several explanations may explain pseudoaneurysm recurrence around stent-graft margins, and it is felt likely that stent-graft placement on an active inflamed aortic wall and continuous mechanical irritation of the aortic wall by a stent graft may play important roles in aneurysm recurrence. 31 …”

Section: Aorta Aneurysmmentioning

confidence: 99%

Cardiovascular Behcet Disease

Cho¹,

Lee²,

Choi³

et al. 2008

Journal of Computer Assisted Tomography

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Unusual radiological manifestations of rare complications of cardiovascular Behcet disease (BD) are the following: (a) aneurysm and (b) occlusion in the aorta and its major branches, (c) pseudoaneurysms on the aortic root and coronary artery, and recurrent valvular dehiscence in the heart, (d) venous thrombosis in the deep and superficial venous system and vena cava. The initial exact diagnosis of cardiovascular BD has been extremely difficult for these rare complicated findings, especially in the absence of the florid clinical manifestations of BD. Radiologist should be aware of possibility of cardiovascular BD via familiarity with its rare imaging features, including computed tomographic angiography (and its 3-dimensional reconstructed images), conventional angiography, and with the clinical characteristics of BD because of high mortality of cardiovascular BD.

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Section: Aorta Aneurysmmentioning

confidence: 99%

Cardiovascular Behcet Disease

Cho¹,

Lee²,

Choi³

et al. 2008

Journal of Computer Assisted Tomography

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“…Park, et al, 8) reported that the recurrence of an aneurysm at the distal part of the stent graft was found in 1 patient in whom stent grafts were placed in nine different locations for the treatment of aneurysms due to Behçet's disease. Ishikawa, et al, 9) also reported the recurrence of an aneurysm due to Behçet's disease 5 months after the placement of a stent graft. Although the patient in this study was relatively young, he had already undergone laparotomy four times and was highly motivated to receive treatment; therefore, the stent graft treatment was ultimately chosen.…”

Section: Discussionmentioning

confidence: 99%

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Saiki

Nakamura

Fujiwara

et al. 2013

Annals of Vascular Diseases

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A 50-year-old male diagnosed with Behçet's disease was referred to our department for stent graft treatment because of thoracic, abdominal, and right common iliac artery (CIA) aneurysms. He had a superior mesenteric artery aneurysm in 2005 that was treated with resection and bypass surgery through the radial artery. He later underwent four abdominal surgical procedures for conditions such as intestinal perforation and ileus. Stent graft treatment was performed. The postoperative course was uneventful; postoperative computed tomography (CT) showed no apparent endoleak, while that performed at 3 years post-discharge showed that the aneurysms had decreased in size.

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“…2,5,6 Endovascular aneurysm repair has evolved rapidly over the last one and a half decades and it has been demonstrated to be a safe alternative to open repair with low mortality, morbidity, and intermediate results. 7 To achieve a complete exclusion of the aneurysm, adequate proximal and distal landing zones are necessary for fi xation and sealing. The inclusion criteria for thoracic EVAR requires a proximal sealing zone 20 mm distal to the left common carotid artery and a distal sealing zone 20 mm proximal to the CA.…”

Section: Discussionmentioning

confidence: 99%

Endovascular repair for a descending thoracic aortic aneurysm with a stent-graft covering the celiac artery: Report of two cases

et al. 2009

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An adequate landing zone for fixation and sealing is necessary for endovascular aneurysm repair (EVAR). This report presents two cases of a successful EVAR for thoracic aortic aneurysms (TAA) with a stent-graft covering the celiac artery (CA) to secure a distal landing zone. Case 1 was a 61-year-old man with a chronic traumatic descending TAA 12 mm away from the CA. Case 2 was a 79-year-old man with a descending TAA proximal to the CA. Preoperative angiography and computed tomography (CT) scan revealed a normal visceral blood flow including the peripancreatic arteries. Endovascular aneurysm repair with coverage of the CA was performed in both cases. Angiography after the EVAR demonstrated good blood flow to the CA branches via the peripancreatic arteries and a CT scan showed thrombosed aneurysms. Both patients were discharged without any abdominal symptoms. Endovascular aneurysm repair with a stent-graft covering the CA may therefore be an acceptable endovascular approach in treating selected TAA patients with a limited distal landing zone.

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Progression of Abdominal Aortic Aneurysm After Endovascular Stent-Grafting in a Patient with Behçet's disease: Report of a Case

Cited by 16 publications

References 8 publications

Cardiovascular Behcet Disease

Cardiovascular Behcet Disease

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Endovascular repair for a descending thoracic aortic aneurysm with a stent-graft covering the celiac artery: Report of two cases

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