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Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet's Disease-Report
Munehiro Saiki1, Yoshinobu Nakamura1, Yoshikazu Fujiwara1
1Division of Organ Regeneration Surgery, Department of Surgery, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
Insights
Behçet
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Rheumatology
Background:
- Behçet's disease is a rare inflammatory disorder that can affect blood vessels.
- Aneurysms in multiple arteries pose significant surgical challenges.
- Previous complex abdominal surgeries increase operative risk.
Observation:
- A 50-year-old male with Behçet's disease presented with thoracic, abdominal, and right common iliac artery (CIA) aneurysms.
- The patient had a history of superior mesenteric artery aneurysm treated surgically and multiple prior abdominal surgeries.
- Stent graft treatment was selected for the multiple aneurysms.
Findings:
- The stent graft procedure was uneventful.
- Postoperative computed tomography (CT) confirmed no endoleak.
- Follow-up CT at 3 years demonstrated aneurysm size reduction.
Implications:
- Endovascular stent grafting offers a viable treatment option for complex arterial aneurysms in Behçet's disease patients.
- Minimally invasive approaches may lead to favorable long-term outcomes.
- Further research is needed to evaluate long-term efficacy and safety in this patient population.
Abstract:
A 50-year-old male diagnosed with Behçet's disease was referred to our department for stent graft treatment because of thoracic, abdominal, and right common iliac artery (CIA) aneurysms. He had a superior mesenteric artery aneurysm in 2005 that was treated with resection and bypass surgery through the radial artery. He later underwent four abdominal surgical procedures for conditions such as intestinal perforation and ileus. Stent graft treatment was performed. The postoperative course was uneventful; postoperative computed tomography (CT) showed no apparent endoleak, while that performed at 3 years post-discharge showed that the aneurysms had decreased in size.
