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Surgical experiences with peripheral arterial aneurysms due to vasculo-Behçet's disease
Sh Sasaki1, K Yasuda, K Takigami
1Department of Cardiothoracic Surgery, Hokkaido University, Sapporo, Japan.
Insights
Peripheral arterial aneurysms in Behçet's disease can lead to rupture. Surgical repair is feasible, but careful technique is essential to minimize complications like anastomotic insufficiency.
Area of Science:
- Vascular Surgery
- Rheumatology
- Behçet's Disease
Background:
- Vascular involvement is a significant aspect of Behçet's disease progression.
- Behçet's disease is notably associated with the development of peripheral arterial aneurysms.
Purpose of the Study:
- To present cases of vasculo-Behçet's peripheral arterial aneurysms.
- To discuss surgical management and outcomes for these aneurysms.
Main Methods:
- Reported on 4 patients with vasculo-Behçet's peripheral arterial aneurysms.
- Surgical interventions included patch closure and arterial reconstruction with saphenous vein grafts.
Main Results:
- All patients initially tolerated surgery well.
- Two patients required re-operation due to anastomotic insufficiency.
Conclusions:
- Aneurysms in Behçet's disease often present acutely and are prone to rupture.
- Appropriate surgical techniques, including careful anastomotic site selection and reinforcement, can reduce complications.
Background:
Vascular involvement of Behçet's disease is currently considered as an important sign of the clinical evolution of patients with Behçet's disease. In addition, Behçet's disease is important in that it causes peripheral arterial aneurysms.
Methods:
In this report, 4 patients with vasculo-Behçet's peripheral arterial aneurysms are presented. These aneurysms were distributed in the carotid artery (n=1), popliteal artery (n=1) and femoral arteries (n=3). Operative procedures included patch closure of a perforated wall for the carotid aneurysm, arterial reconstruction with the autogenous saphenous vein for the femoral and popliteal aneurysms.
Results:
All four patients tolerated the operation well, however, two of four patients required re-operation due to anastomotic insufficiency later.
Conclusions:
Aneurysms associated with Behçet's disease have a sudden onset in many cases and often result in rupture. Appropriate operative procedures, including an adequate choice of anastomotic sites and reinforcement of the suture, may reduce the incidence of complications in patients with arterial aneurysms due to Behçet's disease.