title: Endovascular Repair of Supra-Celiac and Abdominal Aortic Pseudo Aneurysms Concomitant with a Right Atrial Mass in a Patient with Behçet's Disease: A Case Report.
abstract: Behcet's disease is a rare immune mediated systemic vasculitis which besides it's more frequent involvement of eyes and skin, sometimes present with aortic pseudo aneurysm and more rarely cardiac inflammatory masses.A 51-year-old patient with Behçet's Disease presented with two symptomatic aortic pseudoaneurysms concomitant with a right atrial mass. Computed tomography (CT) revealed one supra-celiac and another infrarenal aortic pseudoaneurysms. Echocardiography showed a large mobile mass in the right atrium. Both pseudoaneurysms were successfully excluded simultaneously via endovascular approach with Zenith stent-grafts, and the atrial mass was surgically removed 10 days later. Post-implant CT showed successful exclusion of both pseudo-aneurysms, patency of all relevant arteries, and patient is now asymptomatic and has returned to normal lifestyle. Multiple pseudoaneurysms concomitant with a right atrial mass can be an initial manifestation of Behçet's disease. Endovascular repair can be a good treatment option for the pseudoaneurysms.
authors: Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Seyed Ebrahim
authors: SE
authors: Kassaian
authors: Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Kyomars
authors: K
authors: Abbasi
authors: Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mahmood
authors: M
authors: Shirzad
authors: Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Maryam Sotoudeh
authors: MS
authors: Anvari
authors: Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Maryam
authors: M
authors: Shahrzad
authors: Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors: Behnam
authors: B
authors: Molavi
keywords: Aneurysm, false; Aorta; Behcet syndrome; Celiac artery