Abstract
Endovascular aortic repair (EVAR) has been proposed as an alternative to open surgery for the treatment of Behcet’s disease. However, some patients experience aneurysm recurrence during the postoperative period. A 56-year-old man was diagnosed with Behcet’s disease and had been receiving medical treatment for 26 years. We detected a 60-mm abdominal aortic aneurysm. We performed EVAR using a Power Link (Endologix, Inc.: Irvine) device after preoperative immunosuppressant therapy. The postoperative course was uneventful, and there has been no recurrence during 34 months after operation. The Power Link device has a one-piece bifurcated design, and fully supports polytetrafluoroethylene grafts, which may reduce stress to the aortic intima and the risk of arterial occlusions in the legs in cases of saccular aneurysms with normal terminal aortic diameters. Therefore, Power Link may be a more durable device than the other available options after EVAR in this case of Behcet’s Disease.
