Open Access Research Article

Challenging Saccular Aorto-iliac Aneurysms in Behcet’s Disease

Hussien Rabee1*, Khalid A Brekeit2, Adham Al-Bakry2 and Sameh Dimitri4

1Department of Vascular Surgery, Countess of Chester Hospital, Chester, UK

2Department of Surgery, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Saudi Arabia

3Department of Renal Transplant Surgeon, Royal Liverpool University Hospital, UK

4Department of Vascular Surgery, Countess of Chester Hospital, Chester, UK

Corresponding Author

Received Date: December 05, 2018;  Published Date: December 14, 2018


Background: Behect’s disease is a systemic vasculitic disease with uncertain aetiology and affecting wide range of blood vessel sizes in young age group of patients. Vascular involvement in Behcet’s varies in the literature from 7 to 34%. Arterial lesions in Behect’s disease is very uncommon and carries a relatively high rate of mortality when rupture due to involvement of pulmonary or aorto-iliac arteries.

Methods: This is a retrospective review of nine patients with Behcet’s disease (BD) and saccular aorto-iliac aneurysms. All of them treated surgically. Six patients presented with aortic saccular aneurysms and 3 involved the common iliac artery. Open surgical repair was performed to 6 patients, 2 patients had endovascular treatment and 1 patient had both (hybrid procedure).

Result: Initial success of aneurysmal treatment was achieved in 8 cases. Two patients developed small false aneurysms at the arterial puncture sites. There is 1 case of operative mortality. Two cases developed recurrence at the anastomotic line. Three patients died in less than 18 months follow-up.

Conclusion: Arterial lesions of Behect’s disease are rare conditions with high potential risk of complications. Endovascular management might potentially result in better outcome.

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