关键词: Aneurysm Behcet disease Case report Endovascular Innominate artery

来  源:   DOI:10.1016/j.ijscr.2024.109314   PDF(Pubmed)

Abstract:
BACKGROUND: Behçet disease (BD) is a multisystemic recurrent inflammatory disorder that was originally described as a triad of oral and genital ulcerations with uveitis (Behcet, 1937 [1]). Arterial involvement is the most common cause of mortality in patients with BD. Aneurysms are common among the arterial lesions and affect various arteries, but mostly the abdominal aorta. Vascular lesions are encountered in 7 %-29 % of patients, gravely affecting the course of the disease. Extracranial carotid aneurysms due to Behçet\'s disease are extremely rare (Bouarhroum et al. (2006) [2]).
METHODS: Herein, we present a 19 year old man presented with hoarsness due to pressure effect to our outpatient clinic.
UNASSIGNED: Due to findings in the computed angiography, he underwent surgery twice.A 100*8 COVERA-covered stent was deployed at the bifurcation of the brachiocephalic artery. Then a 40*13.5 FLUENCY stent with a 2 cm overlap from the previous stent was deployed.
CONCLUSIONS: Further investigations regarding endovascular approach for this rare disease is recommended.
摘要:
背景:Behçet病(BD)是一种多系统复发性炎症性疾病,最初被描述为伴有葡萄膜炎的口腔和生殖器溃疡的三联征(Behcet,1937年[1])。动脉受累是BD患者死亡的最常见原因。动脉瘤在动脉病变中很常见,并影响各种动脉,但主要是腹主动脉.7%-29%的患者会遇到血管病变,严重影响疾病的进程。由于Behçet病引起的颅外颈动脉动脉瘤极为罕见(Bouarhroum等人。(2006)[2])。
方法:这里,我们向我们的门诊诊所介绍了一名19岁的男子,该男子因压力效应而出现了蹄形。
由于计算机血管造影的发现,他接受了两次手术。在头臂动脉分叉处展开100*8覆盖的支架。然后展开与先前支架重叠2cm的40*13.5FLUENCY支架。
结论:建议对这种罕见疾病的血管内途径进行进一步研究。
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