Bilateral subclavian arterial aneurysm and ruptured abdominal aorta pseudoaneurysm in Behçet's disease.
Behçet's disease is characterized by recurrent ulcers of the mouth and genitalia and relapsing iritis. It is recognized as a chronic multisystem disease affecting the skin, mucous membranes, eye, joints, central nervous system, and blood vessels. About 8% of the patients with Behçet's disease have severe vascular complications such as arterial aneurysm and occlusion. In our patient, there was a massive, painful, pulsatile mass on the clavicle on the right side of neck. A left subclavian artery aneurysm mass was observed on the left apex on a chest X-ray. Through angiography, a lobular giant saccular aneurysm on the proximal side of the right subclavian artery, giant aneurysm on the left subclavian artery, and occlusion on the left subclavian-axillary artery were observed. We treated first the right and then the left subclavian arterial aneurysm with a two-stage operation. The aneurysms were resected and polytetrafluoroethylene (PTFE) graft interposition was performed. Control angiography was performed 6 months postoperatively. Both grafts were open and there was no anastomotic aneurysm. The patient was reoperated on for a ruptured abdominal aorta pseudoaneurysm 13 months after the first operation. The aortic defect was repaired using a Dacron patch.
Department of Thoracic and Cardiovascular Surgery, Dicle University School of Medicine, Diyarbakir, Turkey.
Omer
O
Cakir
Nesimi
N
Eren
Refik
R
Ulkü
Hasan
H
Nazaroğlu
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001012:Aorta, Abdominal; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001528:Behcet Syndrome / Q000150:complications*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D011859:Radiography; D013348:Subclavian Artery; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene