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Recurrent aortic aneurysms in Behçet disease.
Corey Adams1, Michael Zhen-Yu Tong, D Kirk Lawlor
1Division of Vascular Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada.
Vascular
|September 9, 2010
Summary
Behçet disease (BD) should be considered in young patients with aortic aneurysms. Endovascular repair offers a less morbid surgical option compared to traditional open repair for arterial lesions in BD.
Area of Science:
- Vascular Surgery
- Rheumatology
- Internal Medicine
Background:
- Aortic aneurysms are rare in young adults.
- Behçet disease (BD) is a multisystem inflammatory disorder that can affect the vasculature.
- Constitutional symptoms can precede vascular manifestations.
Observation:
- A 22-year-old male presented with recurrent thoracic aneurysms and constitutional symptoms including gastrointestinal issues and lower back pain.
- Initial diagnosis considered mycotic etiology for a visceral aneurysm.
- Clinical presentation met diagnostic criteria for Behçet disease.
Findings:
- The patient underwent thoracoabdominal and endovascular repair for visceral and thoracic pseudoaneurysms, respectively.
- Diagnosis of Behçet disease was established based on clinical presentation.
- Endovascular repair demonstrated reduced morbidity compared to open repair.
Implications:
- Suggests considering Behçet disease in the differential diagnosis for young patients with aortic aneurysms.
- Highlights the potential role of endovascular interventions in managing arterial lesions associated with Behçet disease.
- Emphasizes the importance of multidisciplinary management for complex vascular manifestations in Behçet disease.
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