Rupture of Thoracoabdominal Aortic Aneurysm Associated with Behcet’s Disease

Umehara, Nobuhiro; Saito, Satoshi; Ishii, Hikaru; Aomi, Shigeyuki; Kurosawa, Hiromi

doi:10.1016/j.athoracsur.2007.04.110

“…A literature search was performed in the PubMed database to identify all publications on endovascular or open repair for TAAAs in BD in the English language, with searching term (‘Thoracoabdominal Aortic Aneurysm’ AND ‘Behçet’s disease’. As shown in Table 1, three reports demonstrated open surgical repair of TAAA in 3 BD patients, 9–11 including one case experienced recurrent anastomotic pseudoaneurysm. 11 Three articles reported treatment for TAAA using endovascular repair with visceral debranching technique in 5 BD patients.…”

Section: Discussionmentioning

confidence: 98%

Total endovascular treatment for thoraco-abdominal aortic aneurysm in a patient with Behçet’s disease: Case report and literature review

Wang

¹

,

Bartolozzi

²

,

Riambau

³

2020

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Introduction To report total endovascular treatment for a rare case of Crawford extent IV thoraco-abdominal aortic aneurysm (TAAA) using custom-designed branched device in a patient with Behçet’s disease. Methods A 50 years’ old man with history of BD was accidentally diagnosed Crawford extent IV TAAA during computed tomography follow-up after left nephrectomy of renal carcinoma. The aneurysm extended from descending aorta to right common iliac artery with a maximum diameter of 6.2 cm. Results The endovascular procedure wassuccessfully performed using custom-designed branched component to cannulate visceral arteries, bifurcated endograft and iliac legs to exclude the aneurysm sac in abdominal aorta and an iliac branched device to preserve the right internal iliac artery. The patient was discharged without any complication. Computed tomography angiogram at one month after endovascular repair demonstrated total exclusion of the aneurysm, patent visceral branches and right internal iliac artery. No complication occurred to six-month follow-up. Conclusion Endovascular treatment of stable TAAA in patients with Behc?et's disease using custom-designed branched device is feasible, microinvasive and safe. The long-term efficacy needs to be observed.

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“…The use of allografts has been reported in the case of aortic substitution to be an appropriate therapy in patients affected from noninfectious inflammatory diseases including BD with uneventful mid-term follow-up [45,46]. Allografts, if available, could be a valid alternative for peripheral procedures in BD patients where due to the ongoing vasculitis it might be undesirable to employ venous segments.…”

Section: Peripheral Aneurysmsmentioning

confidence: 99%

Surgical Treatment of Angio-Behçet

Camparini¹,

Genadiev²

2013

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Patients with Behçet's disease are at risk for multiple vessel-related complications including thromboses, stenoses, occlusions, and aneurysms. Surgical treatment of Angio-Behçet brings numerous challenges due to the peculiarities of the disease process and the high rate of complications. Recurrent vascular episodes are also quite common and Behçet patients require rigorous follow-up. In this review, we focus on the manifestations of Behçet's disease involving the venous system and the systemic arterial vasculitis focusing on the indications, workup, and techniques for surgical treatment. Several case studies from our own experience are presented together with supporting diagnostic imaging and the decision process whether to intervene is discussed. Although open surgery remains a valid option, new endovascular techniques are rapidly advancing and offer excellent results with important decrease in morbidity and mortality even in highly compromised patients.

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“…The choice of a disease-free segment for reconstruction is crucial. The use of allografts has been reported in the case of aortic substitution to be an appropriate therapy in patients affected from noninfectious inflammatory diseases including BD with uneventful mid-term follow-up [45,46]. Allografts, if available, could be a valid alternative for peripheral procedures in BD patients where due to the ongoing vasculitis it might be undesirable to employ venous segments.…”

Section: Peripheral Aneurysmsmentioning

confidence: 99%

Surgical Treatment of Angio‐Behçet

Genadiev¹,

Mortola²,

Arzedi³

et al. 2017

Behcet's Disease

3

0

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Patients with Behçet's disease are at risk for multiple vessel-related complications including thromboses, stenoses, occlusions, and aneurysms. Surgical treatment of Angio-Behçet brings numerous challenges due to the peculiarities of the disease process and the high rate of complications. Recurrent vascular episodes are also quite common and Behçet patients require rigorous follow-up. In this review, we focus on the manifestations of Behçet's disease involving the venous system and the systemic arterial vasculitis focusing on the indications, workup, and techniques for surgical treatment. Several case studies from our own experience are presented together with supporting diagnostic imaging and the decision process whether to intervene is discussed. Although open surgery remains a valid option, new endovascular techniques are rapidly advancing and offer excellent results with important decrease in morbidity and mortality even in highly compromised patients.

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Rupture of Thoracoabdominal Aortic Aneurysm Associated with Behcet’s Disease

Cited by 12 publications

References 8 publications

Total endovascular treatment for thoraco-abdominal aortic aneurysm in a patient with Behçet’s disease: Case report and literature review

Total endovascular treatment for thoraco-abdominal aortic aneurysm in a patient with Behçet’s disease: Case report and literature review

Surgical Treatment of Angio-Behçet

Surgical Treatment of Angio‐Behçet

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