ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Endovascular stent-grafting infection in active Behçet's disease concomitant with familial Mediterranean fever
İsa Coşkun1, Orhan Saim Demirtürk1, Murat Günday2, Murat Gedikoğlu3, Hüseyin Ali Tünel1, Murat Güvener1
1Department of Cardiovascular Surgery, Başkent University, Adana Training and Research Center, Adana, Turkey
2Department of Cardiovascular Surgery, Başkent University, Konya Training and Research Center, Konya, Turkey
3Department of Interventional Radiology, Başkent University, Adana Training and Research Center, Adana, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.6844
A 29-year-old male patient with one year history of Behçet's disease was admitted to a nearby hospital with the complaints of abdominal and back pain. His medical history included familial Mediterranean fever (FMF) for 16 years. Thoracoabdominal computed tomography revealed a giant saccular aneurysmal dilatation of the abdominal aorta at the infrarenal level. He was referred to our institution. Endovascular stent-graft infection developed during follow-up after an endovascular stent-graft was placed. At fourth month of follow-up, the patient was urgently operated due to a rupture during endovascular drainage of a retroperitoneal abscess and an axillobifemoral bypass graft was implanted. This case demonstrates that endovascular stent-grafting should be a valid therapeutic alternative in the management of urgent treatment of abdominal aortic aneurysm in active Behçet's disease and AAA, as the surgical repair of active Behçet’s disease aneurysm is a very highly risky. However, this case also highlights that endovascular stent-grafting may be highly risky for patients with active Behçet’s disease, particularly who are on immunosuppressive drug regimen. Endovascular prosthesis infection following endovascular abdominal aneurysm repair is a dramatic event and its diagnosis and treatment are extremely complex and require a multidisciplinary approach.
Keywords : Abdominal aortic aneurysm; Behçet's disease; familial Mediterranean fever; graft infection
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