Endovascular repair of concomitant celiac trunk and abdominal aortic aneurysms in a patient with Behçet's disease.
OBJECTIVE
To report endovascular repair of dual aneurysms in a patient with Behçet's disease.


METHODS
A 37-year-old man diagnosed 6 months prior with Behçet's disease presented with a pulsating abdominal mass. Computed tomography revealed a 70-mm-diameter pseudoaneurysm in the abdominal aorta and another (20 mm) in the celiac trunk 5 mm from the aorta. Staged endovascular repair began with the aortic aneurysm, which was excluded with a bifurcated 23 x 140-mm Excluder stent-graft. Three days later, 2 Jostent stent-grafts were placed in the celiac trunk, successfully excluding the lesion. Fifteen days later, the patient was discharged on a regimen of clopidogrel, cyclosporine, and warfarin. At 6 months, the CT scan showed good perfusion of the stent-grafts.


CONCLUSIONS
Aneurysmal involvement of the celiac trunk in a patient with Behçet's disease is a rare pathology that appears amenable to stent-graft repair.
Bautista-Hernández
Víctor
V
Regional Service of Cardiovascular Surgery, University Hospital Virgen de la Arrixaca, E-30120 El Palmar, Murcia, Spain. vbautista_hernandez@hotmail.com
Gutierrez
Francisco
F
Capel
Antonio
A
García-Puente
Julio
J
Arribas
José M
JM
Ray
Víctor G
VG
Robles
Diego
D
Arcas
Ramón
R
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001528:Behcet Syndrome / Q000150:complications*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed