Multiple Aneurysms and a Transplanted Kidney in Behçet Disease.
Arterial manifestation of Behçet disease represents a challenging clinical scenario with a potential for fatal complications. This case depicts the surgical management of a 4.5-cm infrarenal aortic aneurysm and a 6-cm left renal artery aneurysm in a patient with known Behçet disease. The presence of a contralateral living donor kidney transplant added to the complexity of the case. Open surgical repair was performed on both aneurysms with the use of axillofemoral bypass to protect the transplanted kidney. This case highlights the challenges of treating an aortic aneurysm in a patient with Behçet disease and a kidney transplant.
1 Department of Vascular Surgery, University Hospital Birmingham, Birmingham, United Kingdom.
Oroog
O
Ali
1 Department of Vascular Surgery, University Hospital Birmingham, Birmingham, United Kingdom.
Philip
P
Nicholl
2 Department of Rheumatology, City Hospital, Birmingham, United Kingdom.
David
D
Carruthers
3 Department of Anesthetics, University Hospital Birmingham, Birmingham, United Kingdom.
James
J
Geoghegan
1 Department of Vascular Surgery, University Hospital Birmingham, Birmingham, United Kingdom.
Alok
A
Tiwari
D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D019917:Blood Vessel Prosthesis Implantation; D002985:Clinical Protocols; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods; D019520:Living Donors; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*
Behçet disease; multiple aneurysms; renal transplant; vascular surgery