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Surgical treatment result of abdominal aortic aneurysm in Behçet's disease
1Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical center, Seoul, Korea. twkwon2@amc.seoul.kr
Insights
Surgical treatment of abdominal aortic aneurysms (AAA) in Behçet's disease patients showed a high recurrence rate, particularly with patch closure. Resection and graft interposition is recommended, while endovascular options require further study.
Area of Science:
- Vascular Surgery
- Rheumatology
- Aortovascular Diseases
Background:
- Behçet's disease is a rare inflammatory condition that can affect the aorta.
- Abdominal aortic aneurysms (AAA) in Behçet's disease patients present unique surgical challenges.
Purpose of the Study:
- To evaluate surgical treatment outcomes for abdominal aortic aneurysms (AAA) in patients with Behçet's disease.
- To compare the efficacy of different surgical techniques for AAA in this patient cohort.
Main Methods:
- Retrospective analysis of 21 procedures for AAA in 12 Behçet's disease patients (1998-2006).
- Surgical interventions included graft interposition, patch closure, and stent-graft insertion.
- Clinical diagnosis of Behçet's disease followed International Study Group criteria.
Main Results:
- Eight recurrent aneurysms (50% of patients) were observed across all procedures.
- Overall recurrence rate was 38.1%, with patch closure showing the highest recurrence (62.5%).
- Graft interposition had a recurrence rate of 14.3%.
Conclusions:
- Resection and graft interposition is considered the preferred surgical option for AAA in Behçet's disease, despite technical difficulties.
- Endovascular interventions may offer an alternative but require extended long-term follow-up to ascertain their effectiveness.
Objective:
We report our surgical treatment results of abdominal aortic aneurysm (AAA) in Behçet's disease patient.
Materials And Methods:
Between September 1998 and June 2006, the authors have performed 21 procedures for AAA in 12 patients with Behçet's disease. Male to female sex ratio was 3:1 and mean age was 34 years old. Behçet's disease was diagnosed clinically using criteria of International Study Group for Behçet's Disease (1990). Retrospective analysis was made.
Results:
There were six infrarenal, five suprarenal, and one double (suprarenal and infrarenal)AAA. Six graft interposition, six patch closure, and one stent-graft insertion were performed (one graft interposition and one patch closure were simultaneously performed for double AAA). Eight recurrent aneurysms were noted in six (50%) patients. Four stent-graft insertion, two patch closures, one graft interposition and one explothoracotomy only were performed for recurrent aneurysms. Overall recurrence rate of 21 procedures was 38.1%; 14.3% for graft interposition, 62.5% for patch closure, and 40% for stent-graft insertion.
Conclusion:
Though the resection and graft interposition is technically difficult in many occasions, it should be considered as the procedure of choice for abdominal aortic aneurysm in Behçet's disease. Endovascular interventions may be one of the treatment modality but the result needs further long-term follow-up.
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