[Arterial aneurysms and Behçet's disease: apropos of 3 cases].
OBJECTIVE
Results that were obtained from three patients and a literature review allow the authors to better define the place of medical and surgical treatments according to the different locations of arterial aneurysm occurring in the course of Behcet's disease.


METHODS
Retrospective report of five cases of arterial aneurysm that occurred during Behcet's disease in three patients.


RESULTS
Due to the unusual symptoms, diagnosis can be hampered. Though lesions may be observed in various areas, they were mostly aortic (two patients). Surgical revascularization was done in all three patients. It mainly involved prosthetic grafts. Two patients were subsequently treated by postoperative immunosuppressive drugs. The mean follow-up was 22 months. Relapsing aneurysm was observed in one patient, while in another patient aneurysm developed in a new location.


CONCLUSIONS
These types of arterial lesions respond poorly to medical treatment when a combination of colchicine and intermittent intravenous bolus of cyclophosphamide is used. Surgical indications should be given great yet selected weight, using prosthetic rather than venous autologous grafts (due to the risk of spontaneous venous involvement). Since either complication or recurrence is possible, prolonged monitoring is required.
Sraieb
T
T
Service de chirurgie vasculaire et de transplantation d'organes, hôpital militaire principal de Tunis, Mont Fleury Tunis, Tunisie.
Ben Romdhane
N
N
Longo
S
S
Manaa
J
J
Louzir
B
B
Othmani
S
S
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D001807:Blood Vessel Prosthesis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012189:Retrospective Studies; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors
D011138:Polytetrafluoroethylene
Anévrismes artériels et maladie de Behçet: à propos de trois cas.