PDF(Pubmed)
Abstract：
UNASSIGNED: Behcet\'s disease is a vasculitis of unknown origin that can involve multiple organs or tissues. Aneurysm or pseudoaneurysm, also one of the complications of Behcet\'s disease, is usually accompanied by a poor prognosis. Surgery is usually accompanied by a high risk of complications, such as the recurrence of anastomotic pseudoaneurysms and blockage of the target vessel. Using hybrid surgery, we successfully treated a complex and recurrent abdominal aortic pseudoaneurysm in a patient with BD.
UNASSIGNED: We report a 32-year-old female diagnosed with Behcet\'s disease with recurrent thoracoabdominal aortic aneurysm. Adequate immunotherapy was given during the perioperative period. The splanchnic artery branches were reconstructed, and the aneurysm was sequestered with endovascular repair. The patient recovered uneventfully and was discharged from the hospital 8 days after hybrid surgery. At the 60-month follow-up, no aneurysm was observed, the stent had no displacement or internal leakage, and the reconstructed blood vessels were unobstructed.
UNASSIGNED: Hybrid surgery could be a feasible and effective strategy for BD aneurysms. Adequate preoperative and postoperative immunotherapy with arterial anastomosis away from the diseased artery may be the key to success.
UNASSIGNED: We report a 32-year-old female diagnosed with Behcet\'s disease with recurrent thoracoabdominal aortic aneurysm. Adequate immunotherapy was given during the perioperative period. The splanchnic artery branches were reconstructed, and the aneurysm was sequestered with endovascular repair. The patient recovered uneventfully and was discharged from the hospital 8 days after hybrid surgery. At the 60-month follow-up, no aneurysm was observed, the stent had no displacement or internal leakage, and the reconstructed blood vessels were unobstructed.
UNASSIGNED: Hybrid surgery could be a feasible and effective strategy for BD aneurysms. Adequate preoperative and postoperative immunotherapy with arterial anastomosis away from the diseased artery may be the key to success.
摘要：
■Behcet\'s病是一种不明原因的血管炎，可累及多个器官或组织。动脉瘤或假性动脉瘤，也是Behcet病的并发症之一，通常伴有不良预后。手术通常伴有并发症的高风险，如吻合口假性动脉瘤复发和靶血管阻塞。使用混合手术，我们成功治疗了BD患者的复杂和复发性腹主动脉假性动脉瘤。
■我们报告了一名32岁女性，诊断为Behcet病，并伴有复发性胸腹主动脉瘤。围手术期给予足够的免疫治疗。重建内脏动脉分支，动脉瘤通过血管内修复被隔离。患者恢复顺利，并在混合手术后8天出院。在60个月的随访中，没有观察到动脉瘤,支架没有移位或内部泄漏，重建的血管通畅。
■混合手术可能是治疗BD动脉瘤的可行且有效的策略。术前和术后充分的免疫治疗与远离病变动脉的动脉吻合可能是成功的关键。
■我们报告了一名32岁女性，诊断为Behcet病，并伴有复发性胸腹主动脉瘤。围手术期给予足够的免疫治疗。重建内脏动脉分支，动脉瘤通过血管内修复被隔离。患者恢复顺利，并在混合手术后8天出院。在60个月的随访中，没有观察到动脉瘤,支架没有移位或内部泄漏，重建的血管通畅。
■混合手术可能是治疗BD动脉瘤的可行且有效的策略。术前和术后充分的免疫治疗与远离病变动脉的动脉吻合可能是成功的关键。
