Reoperation Results of Arterial Involvement in Behçet's Disease

Abstract

the surgical results were not satisfactory because of progressive graft thrombosis and formation of new aneurysms at the anastomosis. Aggressive medical treatment should be combined when major vessel involvement occurs. All types of arterial punctures for angiography or blood gases should be minimised because of the risk of new aneurysm formation. Surgical intervention is indicated only in patients with a growing aneurysm, acute rupture or severe ischaemia.

Endovascular treatment of aortoiliac occlusion in a young patient with Behçet’s disease

“…To avoid surgical complications, endovascular treatment have been recommended increasingly, since it is less invasive and has fewer complications. [5,[8][9][10] Although arterial stenosis or occlusion in BD is rare, nearly every major artery has been reported to be involved by this disease. [6,[11][12][13] Some of them were treated by balloon angioplasty and stent implantation to improve symptoms.…”

Pseudoaneurysm of the Femoral Artery - An Unusual Presentation of Behcets Disease

“…Arterial anastomoses should be performed only in disease-free segments, which means that intervention should be avoided in the active stage of the disease, if possible [12]. Recurrence following a surgical treatment is about 50% with aneurysm formation at the anastomotic site and graft occlusion (thrombosis) [13,14]. However, suture line reinforcement with a strip of Teflon felt, surgery during the inactive stage of the disease, and the use of autografts can decrease the incidence of pseudoaneurysm formation.…”

Impressive progression of coronary artery disease assessed by serial multimodality imaging in a 40year-old patient with Behçet's disease

“…Such an impressive evolution has never been properly reported before in medical literature. Whether the fact of having performed IVUS after wiring the artery may have contributed to this accelerated kinetic by inducing some level of vascular injury as it had been previously suggested [2] could not be totally excluded.…”

“…Arterial manifestations are rare, presenting with peripheral arterial aneurysm, aortitis or thrombosis, frequently affecting the abdominal aorta, the femoral artery and the pulmonary artery. Coronary artery aneurysm remains an exceedingly rare phenomenon in BD, reported in b 0.5% of patients [2]; accelerated atherosclerosis has also been reported. We present the original case of a 40 year-old man with a well controlled BD in whom we have been able to demonstrate an impressive progression of coronary artery disease including both coronary aneurysm and stenosis over a 4 month-period by multi modality imaging including coronary angiography, intravascular ultrasounds and coronary CT scan and who ultimately underwent coronary bypass grafting.…”