Coronary revascularization and abdominal aortic aneurysm repair in a patient with Behçet's diseases.
Behçet's disease is a systemic disease characterized by oral aphta, genital ulcer, and ocular lesion. Arterial involvement is an uncommon complication of Behçet's disease, and it most frequently affects the abdominal aorta followed by the femoral artery and the pulmonary artery. Coronary lesions in Behçet's disease have been little reported in the literature. In this communication, we present a case with coronary artery stenosis and with subsequently developed supra-renal abdominal aortic aneurysm. The coronary lesions were revasculized with gastroepiploic artery, right internal mammary artery, and saphenous vein graft. Abdominal aortic repair was performed with partial cardiopulmonary stand by, because of the risk of coronary ischemia during the cross clamp including the celiac artery. To our knowledge, this is the first report of successful repair of combined lesions of the coronary and the abdominal aorta in a patient with Behçet's disease.
Hirose
H
H
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki City, Japan. genex@idt.net
Takagi
M
M
Noguchi
M
M
Miyagawa
N
N
Narimatsu
M
M
Yamada
T
T
Shibata
R
R
Hashiyada
H
H
Tada
S
S
Kugimiya
T
T
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D014057:Tomography, X-Ray Computed