Femoral profunda artery aneurysm as an unusual first presentation of Behcet disease.
Behcet disease is a multisystem inflammatory disorder, rarely found in African Americans. Arterial involvement occurs in less than 8% of patients. Profunda femoral artery aneurysms (PFAAs) are extremely rare and often occur with synchronous aneurysms. We present a case of an African American man diagnosed with Behcet disease from his presentation with PFAA. He was also found to have a synchronous hypogastric artery aneurysm. The patient was immediately treated with corticosteroids and infliximab to control systemic and vascular inflammation, returning 1 month later for surgery. He had a repair of the left PFAA with a common femoral to profunda femoris artery bypass with reversed saphenous vein graft and aneurysmorrhaphy. When a patient presents with an aneurysm in an unusual location, it is important to evaluate for other aneurysms. A careful history and physical examination is also required to see if the aneurysm may be part of an underlying systemic syndrome.
O'Leary
Elizabeth A
EA
Vascular Surgery, Washington Hospital Center, Washington, DC, USA. eoleary@gmail.com
Sabahi
Iraj
I
Ricotta
John J
JJ
Walitt
Brian
B
Akbari
Cameron M
CM
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010388:Pelvis / Q000098:blood supply*; D049268:Positron-Emission Tomography; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D058017:Vascular Grafting
D000893:Anti-Inflammatory Agents