Ascending aortic aneurysm in Behçets disease: case report

Ascending aortic aneurysm in Behçets disease: case report

Hayati Deniz, Onur Sokullu, Soner Sanioğlu, M. Sinan Kut, Fuat Bilgen

Dr. Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, İstanbul

Ascending aortic aneurysm is a rare complication of Behçets disease. A 33-year-old male patient underwent surgery for ascending aortic aneurysm that also involved the aortic root. At surgery, he had a rigid and thickened bicuspid aortic valve whose mobility was restricted. Aortic root replacement was performed with a composite graft using the Bentall procedure with the button technique. Button, proximal, and distal anastomoses were reinforced using Teflon felt strips and tissue adhesives. Postoperative echocardiographic findings were normal. Contrast-enhanced computed tomography at six months showed no signs of complications including false or true aneurysms. Histopathologic examination of the aortic tissue specimens showed lymphocytic perivasculitis consisted with Behçets disease.

Keywords : Aneurysm/etiology/surgery; aorta/surgery; Behcet syndrome/complications

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