| CASE REPORT |
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| Year : 2016 | Volume
: 4
| Issue : 1 | Page : 3 |
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Fatal expanding thoracoabdominal aneurysm in known but mistreated behcet's disease in a young patient
Bakkali Tarik1, Hamzi Mohamed Amine2, Lekhel Brahim1, Sefiani Yasser1, Mesnaoui Abbes1, Bensaid Younes1
1 Department of Vascular Surgery, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2 Department of Medicine, 5th Military Hospital, Guelmim, Morocco
Correspondence Address:
Hamzi Mohamed Amine
Department of Medicine, 5th Military Hospital, Guelmim
Morocco
 Source of Support: None, Conflict of Interest: None
DOI: 10.5812/acvi.38067
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Introduction: Arterial involvement in Behcet's disease has been previously described. We report a rare case of a large and longsegment thoracoabdominal aneurysm, which was associated with Behcet's disease and had an unfavorable evolution.
Case Presentation: A 23-year-old man was diagnosed with Behcet's disease, as revealed by a carotid aneurysm, and was treated with a prosthetic graft reconstruction as well as immunosuppressive therapy. The patient was lost to follow-up. He stopped the medications of his own will 1 month after his discharge from the hospital. Two years later, he presented with chest pain of 1 week's duration. Alarge aneurysminvolving a long aorta segment from the sinus of Valsalva to the abdominal aorta above the renal arteries was identified by computed tomography angiography. Unfortunately, the patient died despite immunosuppressive therapy and before any surgical or endovascular intervention could be performed.
Conclusions: This rare observation supports the role of immunosuppressive therapy in preventing the recurrence of lifethreatening vascular lesions in the management of Behcet's disease.
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