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Published on: May 14, 2020
Peripheral pseudoaneurysm in active Behçet's disease: surgical and perioperative therapeutic strategies
Osami Honjo1, Keiji Yunoki, Takeshi Shichijo
1Department of Cardiovascular Surgery, Hiroshima City Hospital, Hiroshima, Japan. osami.honjo@sickkids.ca
Abstract:
Since aneurysms in patients with Behçet's disease are often pseudoaneurysmal and adjacent arteries are highly inflammatory, there is not only a risk of rupture but also a high incidence of late surgical complications at anastomotic sites. Furthermore, there is no consensus on perioperative medical therapeutic strategy in patients with active vasculo-Behçet's disease who require surgery. Herein, we present two cases of active Behçet's disease, a 51-year-old male with rupture of the left internal iliac artery who required emergent operation and a 31-year-old male with a rapidly developed pseudoaneurysm in the right superficial femoral artery. Surgical and perioperative therapeutic strategies are also discussed.
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