Surgical Therapy for Disseminated Arterial Involvement in Behcet"s Disease: Case Report
Mehmet Kalender, Ayşe Gül Kunt, Okay Güven Karaca, Mehmet Taşar
DOI: 10.9739/uvcd.2012-32206 · Page: 047-049 · 37 Views · 0 Downloads · 0 Citations
Abstract
Surgical treatment of arterial Behcet"s Disease has a higher incidence of anastomotic
pseudoaneurysm or graft occlusion. A 59-year-old male patient presented with arm pain and shortness
of breath. Medical history revealed Behcet"s disease. Magnetic resonance imaging and computerized
tomography showed aneurysms of main pulmonary, right innominate and left subclavian
arteries and occlusion of bilateral subclavian arteries. Main pulmonary artery was plicated. Right
innominate artery was bypassed to right subclavian artery, and left carotid artery was bypassed to
left subclavian artery with 8 mm biological grafts. Scans showed progressive pulmonary artery
aneurysm and patent grafts 12 months postoperatively. Surgery for aneurysm of main pulmonary
artery in Behcet"s disease should be planned carefully because Behçet"s vascular disease can be progressive
even after surgery.
Keywords : Behçet"s disease; arterial involvement; surgical therapy