Behcet's disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review

J Cardiothorac Surg. 2017 Sep 6;12(1):79. doi: 10.1186/s13019-017-0644-y.

Abstract

Background: Aneurysm or pseudoaneurysm is the main vascular complication of Behcet's disease. Most hospitals adopt endovascular treatment.

Case presentation: We report a case of Behcet's disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm. The patient underwent two rounds of endovascular surgery, but developed new aneurysms immediately after surgery. Eventually, the patient died due to rupture of recurrent aneurysm.

Conclusions: For vasculo-Behcet's disease, we suggest performing the operation during the stable period. At the same time, glucocorticoids could be used with immunosuppressants preoperatively and postoperatively.

Keywords: Aneurysms; Behcet’s disease; Corticosteroid therapy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aneurysm / diagnosis
  • Aneurysm / etiology*
  • Aneurysm / surgery
  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology*
  • Aortic Aneurysm, Thoracic / surgery
  • Behcet Syndrome / complications*
  • Behcet Syndrome / diagnosis
  • Computed Tomography Angiography
  • Endovascular Procedures / methods
  • Female
  • Femoral Artery*
  • Humans
  • Rare Diseases
  • Recurrence