Surgical Repair of Various Pseudoaneurysms in 2 Patients with Vasculo-Behçet Disease

(Department of Cardiovascular Surgery, Kameda Medical Center, Kamogawa, Japan)

Yukiharu Sugimura Mitsuhisa Kotani Masanori Katoh
Yuji Kato Kazuhiro Hisamoto Masaaki Toyama
Vasculo-Behçet disease(VBD)is a special type of Behçet disease(BD)involving some vascular disorders like aneurysmal formation, arterial occlusion, and venous thrombosis in various vessels. VBD has a poor prognosis due to aneurysmal rupture or recurrence of vascular disorders despite optimal treatment. However, definite diagnosis in BD is made on the basis of clinical features, and early diagnosis is difficult. We report 2 patients whose first clinical symptoms were femoral-pseudoaneurysms. They received a diagnosis of VBD after surgery. The first patient was a 69-year-old man, who underwent autologous-vein patch closure of a perforated region in the left femoral artery. One year later, he had a pseudoaneurysm of the right profunda femoris artery, which was ligated. The second patient was a 51-year-old man, who underwent the interposition of the saphenous vein for defective artery due to left superficial femoral-pseudoaneurysm.
  Jpn. J. Cardiovasc. Surg. 39:363-366(2010)

Keywords:Behçet disease, pseudoaneurysm