A Case of Rapidly Progressive Pulmonary Aneurysm as a Rare Complication of Behçet's Syndrome

Başak, Mesut; Gül, Sabahattin; Yazgan, Yusuf; Çankir, Zeki; Danacı, Mehmet; Tüzün, Hasan; Yurdakul, S

doi:10.1177/000331979804900510

Cited by 14 publications

(13 citation statements)

References 16 publications

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“…One exceptional patient exhibited clinical manifestations 14 days after admission. 26 Erythrocyte sedimentation rate was tested for 43 patients. Results were elevated in 39 (90.7%) patients 13 (c 2 =12.5, p=0.00194).…”

Section: Resultsmentioning

confidence: 99%

“…Indications for interventional embolization included bilateral pulmonary artery involvement, 74 giant pulmonary artery pseudoaneurysm, 87 ruptured PAAs, 64 failed conservative treatment, 34 to avoid potential surgical complications 60 and patients' reluctance to undergo surgical operations. 72 Patients with rapidly expanding pulmonary artery (pseudo)aneurysms 24,26,107 or with recurrent PAA following successful percutaneous embolization 24 usually warranted surgical operations; while patients with uncontrolled massive hemoptysis with impending PAA rupture often required an emergency operation. 55,59,106,110 A total of 9 patients received intervention/surgery for the treatment of PAA on an urgent basis including 1 interventional embolization 41 and 8 open thoracic operations.…”

Section: Resultsmentioning

confidence: 99%

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Pulmonary artery aneurysms in Behçet disease

Yuan

2014

J. vasc. bras.

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Pulmonary artery aneurysms (PAAs) are the most common type of pulmonary involvement in Behçet' s disease. However, the relationships between clinical features and prognosis have not been sufficiently evaluated. This article describes the results of a comprehensive review, revealing that PAAs have a predilection for hemoptysis manifestations, increased dimensions, right lower lobar location, multiplicity and concurrent intramural thrombus formation. Surgical intervention was needed in one third of patients. Patients with massive hemoptysis and PAA rupture warranted emergency operations. Conservatively treated patients were prone to PAA progression; interventional embolization was associated with higher risks of recurrence and reintervention for PAAs; and surgically treated patients exhibited the highest mortality rates. In conclusion, PAAs in Behçet' s disease are characterized by a predilection for hemoptysis manifestations, right lower lobar location, multiplicity, and concurrent intramural thrombus formation. Both the condition itself and the surgical operations it warrants are linked with high mortality due to PAA hemorrhage.Keywords: hemoptysis; therapeutic embolization; vasculitis. ResumoOs aneurismas das artérias pulmonares (PAA) são as manifestações mais comuns dos pulmões na doença de Behçet. No entanto, as relações entre as características clínicas e o prognóstico ainda não foram devidamente explicadas. O objetivo do presente artigo foi fazer uma ampla revisão da literatura sobre esta questão. As fontes de dados contaram com uma ampla revisão bibliográfica dos anos de 1990 a 2013, sobre os seguintes temas: doença de Behçet, síndrome de HughesStovin, aneurisma de artéria pulmonar e pseudoaneurisma da artéria pulmonar. Os PAA evoluíram com predileção por hemoptise, aumento de dimensões, localização no lobo inferior direito, multiplicidade e formação de trombo intramural. A intervenção cirúrgica foi necessária em um terço dos pacientes. O tratamento cirúrgico emergencial foi indicado na vigência de ruptura do PAA e de hemoptise maciça. Os pacientes tratados conservadoramente evoluíram com propensão para a progressão do PAA. A embolização dos PAA foi associada a uma taxa maior de recidiva e de reintervenção. Houve diferença significativa entre os grupos quanto às taxas de mortalidade, tendo o grupo do tratamento cirúrgico apresentado a maior taxa. Dentre as variáveis citadas, a hemoptise, o envolvimento da artéria lobar e a ruptura do PAA foram fatores preditivos de maior risco de mortalidade. Houve diferenças significativas nas taxas de mortalidade entre os pacientes cirúrgicos e intervencionistas, e entre os três grupos de pacientes: cirúrgico, intervencionista e conservador. Os pacientes tiveram uma sobrevida global de 61,7% em um seguimento médio de 22,5 meses. Os PAA, na doença de Behçet, apresentaram as seguintes predileções: tendência a hemoptise, multiplicidade, localização no lobo inferior direito e presença de trombos intramurais. As rupturas e hemorragias dos PAA, aliadas ao necessário tr...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Pulmonary artery aneurysms in Behçet disease

Yuan

2014

J. vasc. bras.

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“…L'atteinte artérielle pulmonaire s'associe souvent à d'autres complications vasculaires [26] ou à un thrombus ventriculaire droit [31,32].…”

Section: Discussionunclassified

Thromboses artérielles multiples au cours de la maladie de Behçet

Kallel

Miladi

Marzouk

et al. 2010

La Revue de Médecine Interne

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“…Cardiac involvement in BD is very rare. These cases usually present with recurrent pulmonary emboli due to right ventricular thrombosis [3,9]. For these cases, besides MRA, transesophageal US also aids in diagnosis and follow up [9].…”

Section: Discussionmentioning

confidence: 99%