Huge femoral artery pseudoaneurysm in a patient with Behçet’s disease

Hasanaghaei, Tarlaan; Johari, Hamed Ghoddusi; Shenavandeh, Saeedeh

doi:10.1016/j.ejr.2017.02.001

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Acute arterial involvement must be managed as a medical emergency with intravenous methylprednisolone therapy, appropriate rheumatology review and urgent initiation of immunosuppressive therapy [7,14]. BD patients with vascular manifestations might also require surgical interventions such as endovascular stenting, embolisation or open aneurysmectomy and/or bypass grafting.…”

Section: Discussionmentioning

confidence: 99%

“…BD patients with vascular manifestations might also require surgical interventions such as endovascular stenting, embolisation or open aneurysmectomy and/or bypass grafting. Management of a peripheral artery aneurysm is primarily determined by the clinical presentation, location of the aneurysm, risk of rupture and whether the BD patient has active or controlled disease [14,15]. These patients remain a challenge for vascular surgeons as the vascular inflammation increases the intra and post-operative risks and complications.…”

Section: Discussionmentioning

confidence: 99%

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Ruptured popliteal artery aneurysm: An initial presentation of Behçet’s disease

Theocharopoulos,

Crisp,

Harris

et al. 2024

Annsurgcaserepimages

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Behçet’s Disease (BD) is an uncommon systemic vasculitic disorder, that can affect multiple organ systems. Arterial and venous aneurysmal and occlusive manifestations can occur. We report a case of a 25-year-old male presenting with a 4-week history of left leg pain and swelling, with acute deterioration due to ruptured popliteal aneurysm, confirmed on imaging. He underwent emergency popliteal bypass with ipsilateral reversed great saphenous vein. Subsequent workup revealed pulmonary aneurysms and features suggestive of BD. He received aggressive immunosuppressive therapy to good effect. The management of the patient’s popliteal aneurysm, diagnostic procedure and subsequent management are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ruptured popliteal artery aneurysm: An initial presentation of Behçet’s disease

Theocharopoulos,

Crisp,

Harris

et al. 2024

Annsurgcaserepimages

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“…Vascular involvement of BS, particularly arterial vasculitis, consists of aneurysm or pseudoaneurysm formation and thrombosis. Contrary to venous vasculitis, arterial involvement of BS usually requires surgical intervention besides high dose prednisolone and cyclophosphamide or anti-tumor necrosis factor(TNF)-α agents [6,7]. Depending on the location of the arterial involvement, various interventions may be performed.…”

Section: Discussionmentioning

confidence: 99%

Ruptured innominate artery pseudoaneurysm presenting as hoarseness in Behçet’s syndrome: a case report

et al. 2022

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Background Vascular involvement is an infrequent clinical manifestation of Behçet’s syndrome. Owing to the rarity of arterial involvement in Behçet’s syndrome, there is limited experience in managing this phenomenon. Case presentation Here, we report a 28-year-old Iranian man with a Behçet’s syndrome background, who presented with shoulder pain and hoarseness. Chest computed tomography angiography was conducted with a suspicion of a vascular pathology causing pressure on the recurrent laryngeal nerves. The patient was diagnosed with a ruptured innominate artery pseudoaneurysm. An innominate artery to the right common carotid artery bypass was performed, and the pseudoaneurysm was excised and replaced with an expandable polytetrafluoroethylene graft. Eventually, the patient was discharged after an uneventful hospital course. Conclusion It appears that we are still a long way from finding the optimal treatment for Behçet’s syndrome vascular involvement, and a combination of surgical and medicinal treatments is required.

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