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Behcet's disease and multiple arterial aneurysms: 4 case reports.

Javad Salimi¹, Zahra Omrani², Roozbeh Cheraghali³

¹Vascular and Endovascular Surgery, Liver Transplantation Program, Tehran University of Medical Sciences, Tehran, Iran.

Journal of Surgical Case Reports

|May 31, 2021

Summary

Behcet's disease, a rare vasculitis, can cause multiple aneurysms, including subclavian artery aneurysms. This report details four cases, highlighting diverse surgical and endovascular treatments for these complex vascular conditions.

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Area of Science:

Vascular Surgery
Rheumatology
Internal Medicine

Background:

Behcet's disease (BD) is a rare systemic vasculitis of unknown etiology, predominantly affecting populations along the historical Silk Road.
While BD is uncommon in Western countries, its association with vascular complications, particularly aneurysms, necessitates careful clinical consideration.

Observation:

This report presents four unique cases of Behcet's disease presenting with multiple arterial aneurysms.
Three of the four patients exhibited subclavian artery aneurysms, underscoring a potential predilection in this cohort.
The diverse clinical presentations mandated individualized surgical strategies for each patient.

Findings:

Surgical and endovascular interventions were employed, with endovascular stent grafts utilized in specific cases.

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The study facilitates a discussion comparing open surgical versus endovascular treatment modalities for aneurysms associated with Behcet's disease.

Implications:

This case series expands the understanding of Behcet's disease-related vascular manifestations, particularly aneurysms.
It emphasizes the importance of tailored treatment approaches, considering both open and endovascular options for managing complex vascular pathology in BD patients.
Further research into optimal management strategies for BD-associated aneurysms is warranted.