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Multiple Aneurysms and a Transplanted Kidney in Behçet Disease
Oroog Ali1, Philip Nicholl1, David Carruthers2
11 Department of Vascular Surgery, University Hospital Birmingham, Birmingham, United Kingdom.
Vascular and Endovascular Surgery
|February 3, 2017
Summary
Surgical repair of aortic and renal artery aneurysms in a Behçet disease patient with a kidney transplant was complex. Axillofemoral bypass protected the transplanted kidney during open repair of these arterial manifestations.
Area of Science:
- Vascular Surgery
- Nephrology
- Rheumatology
Background:
- Behçet disease can cause life-threatening arterial aneurysms.
- Managing arterial aneurysms in transplant patients presents unique challenges.
Observation:
- A patient with Behçet disease and a kidney transplant developed an aortic and a renal artery aneurysm.
- The contralateral living donor kidney transplant increased surgical complexity.
Findings:
- Open surgical repair was performed for both the infrarenal aortic aneurysm and the left renal artery aneurysm.
- An axillofemoral bypass was utilized to maintain perfusion to the transplanted kidney.
Implications:
- This case underscores the difficulties in managing aortic aneurysms in Behçet disease patients with kidney transplants.
- Successful surgical intervention requires careful planning to protect vital organs and grafts.
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