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[A case of aneurysm of the descending thoracic aorta associated with Behçet's disease]
I Hirata1, S Kimura, T Michihata
1Department of Cardiovascular Surgery, International Medical Center of Japan, Tokyo, Japan.
Insights
Behçet
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Rheumatology
Background:
- Behçet's disease can cause aortic aneurysms.
- Aneurysms require timely surgical intervention.
- Recurrence is a concern after aortic aneurysm repair.
Observation:
- A 66-year-old male with Behçet's disease presented with hemoptysis and a recurrent descending aortic aneurysm.
- The aneurysm was not visible on CT scans 23 days prior.
- Previous repair involved resection and direct closure without steroids.
Findings:
- Surgical resection, direct closure, and wrapping of the recurrent descending aortic aneurysm were performed.
- Pathology confirmed a true aneurysm associated with Behçet's disease.
- The patient remained recurrence-free for 17 months post-operation with steroid therapy.
Implications:
- Early detection and management of recurrent aortic aneurysms in Behçet's disease are crucial.
- Steroid therapy may play a role in preventing recurrence after surgical repair.
- This case highlights the aggressive nature of vascular manifestations in Behçet's disease.
Abstract:
A 66-year-old male with Behçet's disease admitted again with hemoptysis. He underwent the resection and direct closure of descending aortic aneurysm 3 years ago, followed without the use of steroid. Chest CT scanning demonstrated a recurrent aneurysm of the descending aorta which was could not be detected on the previous CT only 23 days before. In the current operation, we performed resection, direct closure and wrapping of the aneurysm. The pathological examination showed a true aneurysm of Behçet's disease. The patient is free from recurrence for 17 months since the operation under steroid therapy.