Spontaneous Superficial Femoral Artery Pseudoaneurysm in Behcet's Disease

Behcet’s disease is an autoimmune multisystemic disorder on vasculitis base. Cardiovascular involvement is the most important predictor of morbidity and mortality. The treatment should be planned carefully for pathologies requiring interventions. In our report, we present a 45-year-old patient with spontaneous superficial femoral artery pseudoaneurysm, our treatment strategy, and circumstances we faced.

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Huge femoral artery pseudoaneurysm in a patient with Behçet’s disease

The Egyptian Rheumatologist ◽

10.1016/j.ejr.2017.02.001 ◽

2017 ◽

Vol 39 (4) ◽

pp. 267-270 ◽

Cited By ~ 2

Author(s):

Tarlaan Hasanaghaei ◽

Hamed Ghoddusi Johari ◽

Saeedeh Shenavandeh

Keyword(s):

Behçet’S Disease ◽

Femoral Artery ◽

Behcet’S Disease ◽

Behçet's Disease ◽

Artery Pseudoaneurysm ◽

Behcet's Disease

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Pseudoaneurysm of the Superficial Femoral Artery in Behçet's Disease with Spontaneous Thrombosis Followed by CT Angiography

CardioVascular and Interventional Radiology ◽

10.1007/s002709900274 ◽

1998 ◽

Vol 21 (4) ◽

pp. 342-344 ◽

Cited By ~ 3

Author(s):

Satoru Yoshida ◽

Hidenari Akiba ◽

Mituharu Tamakawa ◽

Miki Takeda ◽

Naoya Yama ◽

...

Keyword(s):

Ct Angiography ◽

Behçet’S Disease ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Behcet’S Disease ◽

Behçet's Disease ◽

Spontaneous Thrombosis ◽

Behcet's Disease

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Outcomes of segmental femoral artery pseudoaneurysm in patients with Behçet’s disease: a single center’s experience

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.180139 ◽

2019 ◽

Vol 18 ◽

Author(s):

Hussein Mahmoud Khairy ◽

Ahmed Alaa Shaker

Keyword(s):

Behçet’S Disease ◽

Femoral Artery ◽

Behcet’S Disease ◽

Behçet's Disease ◽

Frozen Section ◽

Muscle Flap ◽

Artery Pseudoaneurysm ◽

Behcet's Disease ◽

Profunda Femoris Artery ◽

Profunda Femoris

Abstract Background Behçet's disease (BD) is an autoimmune condition that involves multiple systems. The most common arterial manifestation in BD patients is pseudoaneurysm, which has higher frequency than aneurysm formation. Objectives To clarify the importance of profunda femoris artery in BD pseudoaneurysm, and present a new method for identifying healthy segments for anastomosis. Methods Fifteen patients presented at a vascular department with pseudoaneurysms of the common femoral (CFA) and superficial femoral artery (SFA), were diagnosed with BD and underwent surgical intervention at Kasr al Ainy hospitals over 2 years. Results All patients were male. The patients ranged in age from 30 to 40 years (mean, 33.8±2.6 years). Mean duration of the disease was 5±3.4 years. Eight (53.3%) CFA graft interpositions, six (40%) mid SFA graft interpositions, and one (6.66) distal SFA graft interposition were performed. Eight (53.3%) of these operations were performed using Dacron graft and sartorius flap, three (20%) were performed with a polytetrafluoroethylene graft, and four (26.66) with a great saphenous vein graft. Two cases (13.33%) were accidentally discovered while four cases (26.66%) had short distance claudication, four cases (26.66%) had pain at rest, and five cases (33.33%) presented with pulsatile swelling correlated with pseudoaneurysm size (p = 0.005). Patients were followed-up over 1 year for new aneurysms and recurrence. Conclusions Surgical repair with muscle flap coverage, with or without ligation of profunda femoris artery, does not affect prognosis. An alternative method for identifying healthy segments of femoral artery may be frozen section and examination of the artery to decrease the risk of recurrence at the site of anastomosis.

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