Korean J Med.
2014 Apr;86(4):494-499.
Endovascular Treatment of an Abdominal Aortic Pseudoaneurysm in a Patient with Behcet's Disease
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- 2Department of Thoracic and Cardiovascular Surgery, Pusan University Hospital, Pusan National University School of Medicine, Busan, Korea.
Abstract
- Behcet's disease shows systemic involvement, including mucocutaneus, ophthalmical, neurological, pulmonary, gastrointestinal, urogenital, mucoskeletal, and cardiovascular disorders. Aneurysmal changes develop in 65% of patients with arterial involvement and are associated with a poor prognosis. Although many attempts have been made to surgically manage these serious arterial lesions, several reports have shown a high recurrence rate and operation-related complications. Stent-graft placement has been indicated for the treatment of pseudoaneurysms and aneurysms in patients with a high surgical risk, including those with Behcet's disease. We herein describe an abdominal aortic pseudoaneurysm in a patient with Behcet's disease that was successfully treated with stent-graft insertion without an endoleak after 36 months of follow-up.