Endovascular repair of abdominal aortic aneurysm with lumbar vertebral erosion in Behçet ’ s disease : case report

Behçet’s disease is an autoimmune, multifactorial, systemic condition with several clinical manifestations, including vascular disorders. An aortic aneurysm with vertebral erosion is rare in association with this pathology and there are only four case reports listed on the PubMed database. This article reports the case of a female patient with a long-standing diagnosis of Behçet’s Disease who developed a saccular infrarenal abdominal aortic aneurysm with lumbar vertebral erosion. Her surgical treatment consisted of endovascular repair with a monoiliac endoprosthesis and a femorofemoral crossover bypass, because of limitations imposed by the anatomy of the aortic bifurcation. This paper discusses the rarity of this presentation of the disease and treatment outcomes and offers a brief review of the relevant literature.

[1]  S. Ertugay,et al.  Endovascular Repair and Adjunctive Immunosuppressive Therapy of Aortic Involvement in Behçet's Disease. , 2015, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[2]  A. Karadağ,et al.  Behcet’s disease and cardiovascular involvement: our experience of asymptomatic Behcet’s patients , 2014, Cardiovascular journal of Africa.

[3]  E. Peker,et al.  Abdominal aortic aneurysm causing lumbar vertebral erosion in Behçet’s disease presenting by low back pain , 2014, Rheumatology International.

[4]  Linda N Geng,et al.  Behçet's disease with major vascular involvement , 2013, BMJ Case Reports.

[5]  Y. Shimada,et al.  High prevalence of abdominal aortic aneurysm in patients with chronic low back pain. , 2013, The Tohoku journal of experimental medicine.

[6]  M. A. Pérez,et al.  Vertebral erosions in abdominal aortic aneurysms as a cause of chronic low back pain. A series of 5 cases , 2012 .

[7]  W. Shim,et al.  Major arterial aneurysms and pseudoaneurysms in Behçet's disease: results from a single centre , 2011, Scandinavian journal of rheumatology.

[8]  Sergio Quilici Belczak,et al.  Tratamento endovascular de aneurismas da aorta em pacientes com doença de Behçet: relato de dois casos , 2010 .

[9]  S. Kwon,et al.  Abdominal aortic aneurysm rupture with vertebral erosion presenting with severe refractory back pain in Behçet's disease. , 2010, Annals of vascular surgery.

[10]  T. Kwon,et al.  Surgical treatment result of abdominal aortic aneurysm in Behçet's disease. , 2008, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[11]  Y. Kalko,et al.  The surgical treatment of arterial aneurysms in Behçet disease: a report of 16 patients. , 2005, Journal of vascular surgery.

[12]  H. Nagawa,et al.  Long-term outcome after surgical treatment of arterial lesions in Behçet disease. , 2005, Journal of vascular surgery.

[13]  P. Schil,et al.  Abdominal aortic aneurysm with lumbar vertebral erosion in Behçet's disease. A case report and review of the literature. , 1997, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[14]  A. Engel,et al.  Abdominal aortic aneurysm in Behçet's disease: new treatment options for an old and challenging problem. , 2004, The Israel Medical Association journal : IMAJ.

[15]  C. Yakut,et al.  Rupture of Abdominal Aortic Aneurysms in Behçet’s Disease , 2003, Annals of vascular surgery.

[16]  S. J. Kim,et al.  Aortic and arterial aneurysms in behçet disease: management with stent-grafts--initial experience. , 2001, Radiology.

[17]  A. El Maghraoui,et al.  Abdominal aortic aneurysm with lumbar vertebral erosion in Behçet's disease revealed by low back pain: a case report and review of the literature. , 2001, Rheumatology.