Aysegül ALÇELIK, Ramazan BÜYÜKKAYA, Ayla BÜYÜKKAYA, Subhan YALÇIN, Cengiz BAŞAR, İsmail ERDEN

Behçet Hastalığına İkincil Gelişen Femoral Arterde Pseudoaneurizma

Behçet Hastalığının çoğu klinik belirtileri vaskülitlere bağlı olduğuna inanılır. Büyük damartutulumları Behçetli hastaların yaklaşık üçte birinde izlenmektedir. Bu hastalarda, perivaskülerve endovasküler inflamasyon hem arter hem de venlerde kanama, darlık, anevrizma formasyonuve trombüs formasyonuna yol açabilir. Arterial anevrizmaların rüptürü ani ölüme yol açabilir.Biz bu olguda Behçet Hastalığına bağlı femoral arter tutulumu sonucu Pseudoaneurizmaformasyonu gelişen bir hastayı sunduk

Anahtar Kelimeler:

Behçet Hastalığı, femoral arter, vaskülit

Femoral Artery Pseudoaneurysm Secondary To Behcet's Disease: A Case Report

Most clinical manifestations of Behcet's disease are believed to be due to vasculitis. Large vesselvascular involvement occurs in approximately one-third of patients with Behcet's disease. Inthese patients, perivascular and endovascular inflammation may lead to hemorrhage, stenosis,aneurysm formation, thrombus formation in both arteries and veins, and varices. The rupture ofan arterial aneurysm might result in sudden death. We report a case of Behcet's diseasecharacterized by involvement of femoral artery pseudoaneurysm

Keywords:

Behcet's disease pseudoaneurysm, femoral artery, vasculitis,

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Sakane T, Takeno M, Suzuki N, et al. Behçet’s disease. N Engl J Med 1999; 341:1284–91.
Koc Y, Gullu I, Akpek G, et al. Vascular involvement in Behcet's disease. J Rheumatol 1992 Mar; 19 (3):402-10.
Calamia KT, Schirmer M, Melikoglu M. Major vessel involvement in Behcet disease. Curr Opin Rheumatol 2005 Jan; 17(1):1-8.
Seyahi E, Melikoglu M, Yazici H. Clinical features and diagnosis of Behcet's syndrome. Int J Adv Rheumatol 2007; 5:8.
Matsumoto T, Uekusa T, Fukuda Y. Vasculo-Behcet’s disease: a pathologic study of eight cases. Hum Pathol 1991; 22:45–51
Park JH, Han MC, Bettmann MA. Arterial manifestations of Behcet disease. Am J Roentgenol 1984; 143: 821-5.
Sasaki Sh, Yasuda K, Takigami K, et al. Surgical experiences with peripheral arterial aneurysms due to vasculo Behcet's disease. J Cardiovasc Surg (Torino) 1998; 39: 147-50.
Sener E, Bayazit M, Gol MK, et al. Surgical approach to pseudoaneurysms with Behcet's disease. Thorac Cardiovasc Surg 1992; 40: 297-9.
Henry M, Amor M, Henry I, et al. Percutaneous endovascular treatment of peripheral aneurysms. J Cardiovasc Surg (Torino) 2000; 41: 871-83.
Casana R, Nano G, Dalainas I, et al. Midterm experience with the endovascular treatment of isolated iliac aneurysms. Int Angiol 2003; 22: 32-5.
Buth J, Harris PL, Van Marrewijk C, et al. Endoleaks during follow-up after endovascular repair of abdominal aortic aneurysm. Are they all dangerous? J Cardiovasc Surg (Torino) 2003; 44: 559-66. (Review)