Japanese Journal of Vascular Surgery
Online ISSN : 1881-767X
Print ISSN : 0918-6778
A Case of Vascular Behçet's Disease Complicated with Metachronous Multiple Peripheral Aneurysms in the Limbs
Keiichiro KasamaYoshikazu Kumamoto
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JOURNAL OPEN ACCESS

2006 Volume 15 Issue 4 Pages 463-466

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Abstract
We report a case of vascular Behçet's disease in a 26-year-old man complicated by peripheral aneurysms in 4 locations over 8 years. The patient was given a diagnosis with Behçet's disease at age 18, at which time he underwent ligation for a right anterior tibial artery aneurysm. At age 19, he underwent aneurysmorrhaphy for a right posterior tibial artery aneurysm and aneurysmectomy with end-to-end anastomosis for a left radial artery aneurysm. The postoperative course was uneventful. There was no relapse. In September 2005, he felt a pulsating mass on the dorsal aspect of his right knee joint. A popliteal artery aneurysm was diagnosed by echography. A computed tomography scan revealed a saccular aneurysm with a maximum transverse diameter of 5 cm. Aneurysmectomy and replacement were performed by end-to-end anastomosis using a great saphenous vein graft. The patient made good progress following surgery without any complications. Behçet's disease was in remission before surgery and pathological results after showed no significant inflammatory findings.
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