Aortic transection and diverting bypass as treatment of repetitive recurrent abdominal aortic false aneurysm rupture in a patient with Behcet's disease.

Sang-Dong Kim, Yong-Sung Won, Sang-Seob Yun, Sun-Cheol Park, Ji-Il Kim, In-Sung Moon, Yong-Bok Koh

Department of Surgery, The Catholic University Medical Center, Seoul, Korea.

Annals of vascular surgery 2011 Feb

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Abdominal aortic false aneurysms in patients with Behcet's disease have been reported frequently and repaired successfully by various procedures; however, anastomotic false aneurysms have often been reported to occur after the operation. In this article, we report a case of four-time repetitive, recurrent suprarenal abdominal aortic false aneurysm ruptures that lasted for 7 years. The location of this aneurysm was not easy to repair not only by open surgical procedures but by endovascular stent because the aortic defect was too close to the visceral arterial branches. The last operation consisted of primary repair of aortic defect, transection of abdominal aorta at the level of supraceliac aorta with end closure, and a thoracic aorta to abdominal aorta bypass with Dacron graft. An 8-year follow-up revealed no more abdominal aortic aneurysm recurrence. Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

Citation

Sang-Dong Kim, Yong-Sung Won, Sang-Seob Yun, Sun-Cheol Park, Ji-Il Kim, In-Sung Moon, Yong-Bok Koh. Aortic transection and diverting bypass as treatment of repetitive recurrent abdominal aortic false aneurysm rupture in a patient with Behcet's disease. Annals of vascular surgery. 2011 Feb;25(2):267.e1-5