Don't trust a vein graft to treat carotid aneurysm in patients with Behçet disease.
Extracranial carotid aneurysm is a rare vascular manifestation of Behçet disease. To our knowledge, only 32 cases have been reported. This article presents a complex case of a 28-year-old man who was first treated by vein graft reconstruction. At 12 months of follow-up, a nonanastomotic false aneurysm of the vein graft occurred and was treated by interposition of prosthetic graft. Two months later, an anastomotic pseudoaneurysm between the two grafts was excluded by two stent grafts. Based on our experience and a review of the literature, we compared the outcomes of prosthetic and autologous vein reconstructions and discussed the role of carotid ligation and immunosuppressive treatment.
Berard
Xavier
X
Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France. xavier.berard@chu-bordeaux.fr
Corpataux
Jean-Marc
JM
Taoufiq
Habib
H
Sassoust
Gerard
G
Brizzi
Vincenzo
V
Midy
Dominique
D
D000293:Adolescent; D000328:Adult; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001528:Behcet Syndrome / Q000097:blood*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002340:Carotid Artery Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D014680:Veins / Q000637:transplantation*; D055815:Young Adult
D007166:Immunosuppressive Agents