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[False aneurysm of the abdominal aorta revealing Behçet's disease]

H El Bhali1, O Zahdi1, T Bakkali1

  • 1Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, université Mohamed V de Rabat, 10104 Souissi, Rabat, Maroc.

Journal De Medecine Vasculaire
|September 3, 2019
PubMed

Insights

Behçet disease, a rare vasculitis, can cause severe aortic aneurysms. Endovascular repair with covered stents offers a safe and effective treatment, improving survival rates for patients with this condition.

Area of Science:

  • Vascular Surgery
  • Rheumatology
  • Internal Medicine

Background:

  • Behçet disease is a systemic vasculitis with frequent vascular involvement.
  • Aortic aneurysms are rare but severe complications of Behçet disease, posing life-threatening risks.

Observation:

  • This case highlights Behçet disease presenting as a false aneurysm of the abdominal aorta.
  • Computed tomographic angiography is crucial for diagnosing and characterizing aortic aneurysms in Behçet disease.

Findings:

  • Endovascular repair using a covered stent is presented as a safe and effective treatment for abdominal aortic aneurysms in Behçet disease.
  • This approach may lead to fewer pseudoaneurysms and improved survival rates, particularly when combined with immunosuppressive therapy.

Implications:

  • Endovascular repair represents a viable alternative to open surgery for aortic aneurysms in Behçet disease.
  • Early diagnosis and appropriate management, including immunosuppression and endovascular intervention, are critical for improving patient outcomes.

Keywords:
Aortic false aneurysmBehçet's diseaseEndograftEndoprothèseFaux anévrisme aortiqueMaladie de Behçet

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