Abstract
Arterial complications of Behcet’s disease rarely affect the thoracic aorta, and the incidence of aortic arch aneurysm is especially low. We present a patient who developed a rapidly expanding aneurysm of the distal aortic arch after 20 years of treatment of Behcet’s disease. Emergency total arch replacement was performed with a favorable outcome. Graft anastomosis to the normal aorta involving all three layers, wrapping of the anastomotic sites with wide felt strips, as well as strict management of systemic inflammation are essential for prevention of late complications associated with graft anastomosis sites.
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Urayama A, Sakuragi S, Sakai F, Tanaka Y, Koseki T. Angio Behcet’s syndrome. Proceedings of the International Conference on Behcet’s Disease, held October 23–24, 1981. Tokyo: University of Tokyo Press, 1982: 171–6.
Bartlett ST, McCarthy WJ 3rd, Palmer AS, Flinn WR, Bergan JJ, Yao JS. Multiple aneurysms in Behcet’s disease. Arch Surg 1988; 123: 1004–8.
Okita Y, Ando M, Minatoya K, Kitamura S, Matsuo H. Multiple pseudoaneurysms of the aortic arch, right subclavian artery, and abdominal aorta in a patient with Behcet’s disease. J Vase Surg 1998; 28: 723–6.
Kazui T, Washiyama N, Muhammad BA, Terada H, Yamashita K, Takinami M. Improved results of atherosclerotic arch aneurysm operations with a refined technique. J Thorac Cardiovasc Surg 2001; 121: 491–9.
Behçet H. Über rezidivierende apthöse durch ein virus verursachte geschwtire am mund, am auge, und an den genitalien (in German). Dermatol Wochenschr 1937; 105: 1152–7.
Hamza M. Large artery involvement in Behcet’s disease. J Rheumatol 1987; 14: 554–9.
Napoleone CP, Di Bartolomeo R, Pierangeli G, Pierangeli A. Aortic arch aneurysm in Behcet’s disease: An usual association. Cardiovasc Surg 1994; 2: 379–80.
Shibata T, Shiozu H, Ogawa Y, Yasuura K. Pseudoaneurysm of the distal aortic arch in Behcet’s disease: A case report. Jpn Circ J 1992; 56: 964–9.
Çakir Ö, Eren N, ÜlkÜ R, Nazaroglu H. Bilatral subclavian arterial aneurysm and ruptured abdominal aorta pseudoaneurysm in Behcet’s disease. Ann Vase Surg 2002; 16; 516–20.
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Suzuki, K., Kazui, T., Yamashita, K. et al. Emergency operation for distal aortic arch aneurysm in Behcet’s disease. Jpn J Thorac Caridovasc Surg 53, 389–392 (2005). https://doi.org/10.1007/s11748-005-0057-z
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DOI: https://doi.org/10.1007/s11748-005-0057-z