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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
PubMed

Insights

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.

Keywords:
Behçet diseasemultiple aneurysmsrenal transplantvascular surgery

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