Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200201
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de aneurisma sacular aórtico associado à doença de Adamantiades-Behçet

Endovascular treatment of aortic saccular aneurysms associated with Adamantiades-Behçet disease

Patrick Bastos Metzger; Kamilla Rosales Costa; Simone Lessa Metzger; Leonardo Cortizo de Almeida

Downloads: 1
Views: 997

Resumo

Resumo: A doença de Adamantiades-Behçet é uma desordem multissistêmica que se apresenta classicamente com úlceras orais e genitais e envolvimento ocular, podendo o acometimento vascular ocorrer em até 38% dos casos. O envolvimento aórtico é uma das manifestações mais severas e está associado a altas taxas de mortalidade, ocorrendo em 1,5 a 2,7% dos casos. Relatamos um caso de aneurisma sacular de aorta abdominal em um paciente de 49 anos com doença de Adamantiades-Behçet complicada, tratada por correção endovascular.

Palavras-chave

síndrome de Behçet, aneurisma aórtico, procedimentos endovasculares

Abstract

Adamantiades-Behçet disease is a multisystemic disorder that classically presents with oral and genital ulcers and ocular involvement, with vascular involvement in up to 38% of cases. Aortic involvement is one of the most serious manifestations and is associated with high mortality rates, occurring in 1.5 to 2.7% of cases. We report a case of a saccular abdominal aorta aneurysm in a 49-year-old male patient with complicated Adamantiades-Behçet disease that was treated with endovascular repair

Keywords

Behçet syndrome; aortic aneurysm; endovascular procedures.

References

1 Yahalom M, Bloch L, Suleiman K, Rosh B, Turgeman Y. Envolvimento cardiovascular na doença de Behçet: implicações clínicas. Int J Angiol. 2016;25(5):e84-6. http://dx.doi.org/10.1055/s-0035-1551796. PMid:28031663.

2 Nishiyama T, Kondo Y, Okamoto S, et al. Aneurisma do arco aórtico na doença de Behçet tratada com sucesso com infliximabe. Med Interna. 2020;59(8):1087-91. http://dx.doi.org/10.2169/internalmedicine.3946-19. PMid:31915317.

3 Tuzun H, Seyahi E, Arslan C, Hamuryudan V, Besirli K, Yazici H. Management and prognosis of nonpulmonary large arterial disease in patients with Behçet disease. J Vasc Surg. 2012;55(1):157-63. http://dx.doi.org/10.1016/j.jvs.2011.07.049. PMid:21944910.

4 Kutay V, Yakut C, Ekim H. Rupture of the abdominal aorta in a 13-year-old girl secondary to Behçet disease: a case report. J Vasc Surg. 2004;39(4):901-2. http://dx.doi.org/10.1016/j.jvs.2003.12.020. PMid:15071462.

5 International Study Group for Behçet’s Disease. Criteria for diagnosis of Behçet’s disease. Lancet. 1990;335(8697):1078-80. PMid:1970380.

6 Ducos C, de Lambert A, Pirvu A, Cochet E, Sessa C, Magne JL. Endovascular treatment of aortic and primitive iliac artery aneurysms associated with Behçet disease. Ann Vasc Surg. 2013;27(4):497.e5-8. http://dx.doi.org/10.1016/j.avsg.2012.07.014. PMid:23541779.

7 Desai SC, Gangadharan AN, Basavanthappa RP, Anagavalli Ramswamy C, Shetty R. Giant abdominal aortic aneurysm of uncommon etiology due to Behçet disease. J Vasc Surg. 2019;70(3):937-40. http://dx.doi.org/10.1016/j.jvs.2019.02.067. PMid:31327604.

8 Karkos CD, Zacharioudakis G, Papazoglou KO. Tratamento endovascular do aneurisma roto da aorta abdominal em paciente com doença de Adamantiades-Behçet. Hippokratia. 2017;21(4):204. PMid:30944514.

9 Sahutoglu T, Artim Esen B, Aksoy M, Kurtoglu M, Poyanli A, Gul A. Clinical course of abdominal aortic aneurysms in Behçet disease: a retrospective analysis. Rheumatol Int. 2019;39(6):1061-7. http://dx.doi.org/10.1007/s00296-019-04283-y. PMid:30888471.

10 Tüzün H, Besirli K, Sayin A, et al. Management of aneu- rysms in Behcet’ssyndrome: an analysis of 24 patients. Surgery. 1997;121(2):150-6. http://dx.doi.org/10.1016/S0039-6060(97)90284-1. PMid:9037226.

11 Freyrie A, Paragona O, Cenacchi G, Pasquinelli G, Guiducci G, Faggioli GL. True and false aneurysms in Behcet’s disease: case report with ultrastructural observa- tions. J Vasc Surg. 1993;17(4):762-7. http://dx.doi.org/10.1016/0741-5214(93)90123-4. PMid:8464098.

12 Belczak SQ, Silva IT, Marques GG, et al. Tratamento endovascular da doença de Behçet: relato de caso. J Vasc Bras. 2019;18:e20180121. http://dx.doi.org/10.1590/1677-5449.180121. PMid:31360154.

13 Souza NLAR, Siqueira DED, Cantador AA, Rossetti LP, Molinari GJDP, Guillaumon AT. Tratamento endovascular de aneurisma de aorta abdominal com erosão de vértebra lombar associada à doença de Behçet: relato de caso. J Vasc Bras. 2017;16(2):162-7. http://dx.doi.org/10.1590/1677-5449.009416. PMid:29930640.

14 Park JH, Han MC, Bettmann MA. Arterial manifestations of Behcet disease. AJR Am J Roentgenol. 1984;143(4):821-5. http://dx.doi.org/10.2214/ajr.143.4.821. PMid:6332492.

15 Nitecki SS, Ofer A, Karram T, Schwartz H, Engel A, Hoffman A. Abdominal aortic aneurysm in Behc ̧et’s disease: new treatment options for an old and challenging problem. Isr Med Assoc J. 2004;6(3):152-5. PMid:15055270.

16 Zanchetta M, Faresin F, Pedon L, et al. Funnel technique for first-line endovascular treatment of an abdominal aortic aneurysm with an ectatic proximal neck. J Endovasc Ther. 2006;13(6):775-8. http://dx.doi.org/10.1583/05-1691.1. PMid:17154703.

17 Tasselli S, Perini P, Paini E, Milan L, Bonvini S. Use of a thoracic endograft in an acute abdominal aortic setting: case report and literature review. Vasc Endovascular Surg. 2017;51(7):493-7. http://dx.doi.org/10.1177/1538574417718446. PMid:28743219.
 


Submitted date:
10/17/2020

Accepted date:
04/08/2021

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
60d4c712a9539501482aca32 jvb Articles

J Vasc Bras

Share this page
Page Sections