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Journal of Cardiothoracic Surgery

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Open Access 01-12-2017 | Case report

Behcet’s disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review

Authors: Shi-Huai Zhang, Fu-Xian Zhang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

Aneurysm or pseudoaneurysm is the main vascular complication of Behcet’s disease. Most hospitals adopt endovascular treatment.

Case presentation

We report a case of Behcet’s disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm. The patient underwent two rounds of endovascular surgery, but developed new aneurysms immediately after surgery. Eventually, the patient died due to rupture of recurrent aneurysm.

Conclusions

For vasculo-Behcet’s disease, we suggest performing the operation during the stable period. At the same time, glucocorticoids could be used with immunosuppressants preoperatively and postoperatively.

Ramos-Casals M, Brito-Zerón P, Kostov B, Sisó-Almirall A, Bosch X, Buss D, Trilla A, Stone JH, Khamashta MA, Shoenfeld Y. Google-driven search for big data in autoimmune geoepidemiology: analysis of 394827 patients with systemic autoimmune diseases. Autoimmun Rev. 2015;14:670–9.CrossRefPubMed

Behcet H. Uber rezidiverende aphtose, durch ein Virus verursachte Geschwure am Mund, am Auge und den Genitalien. Derm Wochenschr. 1937;36:1152–7.

Sakane T, Takeno M, Suzuki N, Inaba G. Behcet's disease. N Engl J Med. 1999;341:1284–91.CrossRefPubMed

Hamuryudan V, Er T, Seyahi E, Akman C, Tüzün H, Fresko I, Yurdakul S, Numan F, Yazici H. Pulmonary artery aneurysms in Behcet syndrome. Am J Med. 2004;117:867–70.CrossRefPubMed

Chan E, Sangle SR, Coghlan JG, D’Cruz DD. Pulmonary artery aneurysms in Behcet’s disease treated with anti-TNFα: a case series and review of the literature. Autoimmun Rev. 2016;15:375–8.CrossRefPubMed

Okada K, Eishi K, Takamoto S, Ando M, Kosakai Y, Nakano K, Sasako Y, Kobayashi J. Surgical management of Behcet's aortitis: a report of eight patients. Ann Thorac Surg. 1997;64:116–9.CrossRefPubMed

Park JH, Chung JW, Joh JH, Song SY, Shin SJ, Chung KS, Lee DY, Won JY, Kim SJ. Aortic and arterial aneurysms in Behcet's disease: management with stent-grafts-initial experience. Radiology. 2001;220:745–50.CrossRefPubMed

Liu CW, Ye W, Liu B, Zeng R, Wu W, Dake MD. Endovascular treatment of aortic pseudoaneurysm in Behcet disease. J Vasc Surg. 2009;50:1025–30.CrossRefPubMed

Ozyaziciglu A, Kocak H, Vural U. Carotid artery pseudoaneurysm in Behcet's disease. Eur J Cardiothorac Surg. 2001;19:938–9.CrossRef

10.

Freyrie A, Paragona O, Cenacchi G, Pasquinelli G, Guiducci G, Faggioli GL. True and false aneurysms in Behcet’ s disease: case report with ultrastructural observations. J Vasc Surg. 1993;17:762–7.CrossRefPubMed

11.

Karatepe O, Ziyade S, Ugurlucan M, Gasparyan AY. Treatment of pulmonary artery aneurysm in Behcet’s disease few things can make big differences. Interact Cardiovasc Thorac Surg. 2009;8:392.PubMed

12.

Kim SW, Lee DY, Kim MD, Won JY, Park SI, Yoon YN, Choi D, Ko YG. Outcomes of endovascular treatment for aortic pseudoaneurysm in Behcet’s disease. J Vasc Surg. 2014;59:608–14.CrossRefPubMed

13.

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, Expert Committee EULAR. EULAR recommendations for the management of Behcet disease. Ann Rheum Dis. 2008;67:1656–62.CrossRefPubMed

14.

Balcioglu O, Ertugay S, Bozkaya H, Parildar M, Posacioglu H. Endovascular repair and adjunctive immunosuppressive therapy of aortic involvement in Behçet’s disease. Eur J Vasc Endovasc Surg. 2015;50:593–8.CrossRefPubMed

15.

Liu Q, Ye W, Liu C, Li Y, Zeng R, Ni L. Outcome of vascular intervention and use of perioperative medications for nonpulmonary aneurysms in Behcet disease. Surgery. 2016;159:1422–9.CrossRefPubMed

Title: Behcet’s disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review
Authors: Shi-Huai Zhang
Fu-Xian Zhang
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0644-y

At a glance: The STEP trials

Springer Medicine

Behcet’s disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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