Surgery for pseudoaneurysm following the Bentall procedure in a patient with Behçet's disease: A case report

Area of Science:

• Cardiology
• Rheumatology
• Vascular Surgery

Background:

• Behçet's disease is a chronic systemic vasculitis.
• Cardiac involvement, or Behçet's disease, can lead to severe cardiovascular complications.
• Aortic regurgitation is a rare but serious manifestation of cardiac Behçet's disease, associated with high surgical risks.

Purpose of the Study:

• To describe a case of severe aortic regurgitation in a patient with Behçet's disease.
• To highlight the challenges and outcomes of surgical interventions for this condition.
• To illustrate the application of the Cabrol technique following complications from the Bentall procedure.

Main Methods:

• Case report of a patient with Behçet's disease and severe aortic regurgitation.
• Initial surgical intervention using the Bentall procedure.
• Subsequent intervention utilizing the Cabrol technique for post-operative complications.

Main Results:

• The patient initially underwent the Bentall procedure for severe aortic regurgitation.
• Postoperatively, the patient developed a pseudoaneurysm and prosthetic valve detachment.
• A secondary intervention using the Cabrol technique was successfully performed to correct the complications.

Conclusions:

• Severe aortic regurgitation in Behçet's disease poses significant surgical challenges.
• The Bentall procedure carries risks of serious complications in these patients.
• The Cabrol technique can be an effective option for managing complex post-operative aortic root issues in Behçet's disease.