Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report
BackgroundBehcet'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 complication...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1097129/full |
| _version_ | 1797729332402061312 |
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| author | Guo Xin Chen Jiang Hong Wan Chu Wen Chen Bin Huang |
| author_facet | Guo Xin Chen Jiang Hong Wan Chu Wen Chen Bin Huang |
| author_sort | Guo Xin Chen |
| collection | DOAJ |
| description | BackgroundBehcet'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.MethodsWe 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.ConclusionHybrid 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. |
| first_indexed | 2024-03-12T11:27:40Z |
| format | Article |
| id | doaj.art-d877f51c87e0474ca361b6bbe70cf7d5 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-12T11:27:40Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-d877f51c87e0474ca361b6bbe70cf7d52023-09-01T07:04:19ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-09-011010.3389/fcvm.2023.10971291097129Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case reportGuo Xin Chen0Jiang Hong Wan1Chu Wen Chen2Bin Huang3Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Outpatient, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, ChinaBackgroundBehcet'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.MethodsWe 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.ConclusionHybrid 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.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1097129/fullbehcet’s diseasehybrid surgeryrecurrent aneurysmsendovascular aneurysm repairopen surgery repairrevascularization |
| spellingShingle | Guo Xin Chen Jiang Hong Wan Chu Wen Chen Bin Huang Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report Frontiers in Cardiovascular Medicine behcet’s disease hybrid surgery recurrent aneurysms endovascular aneurysm repair open surgery repair revascularization |
| title | Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report |
| title_full | Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report |
| title_fullStr | Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report |
| title_full_unstemmed | Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report |
| title_short | Hybrid surgery management challenges of a Behcet's disease patient with recurrence of aortic aneurysms: a case report |
| title_sort | hybrid surgery management challenges of a behcet s disease patient with recurrence of aortic aneurysms a case report |
| topic | behcet’s disease hybrid surgery recurrent aneurysms endovascular aneurysm repair open surgery repair revascularization |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1097129/full |
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