Ulusan Z, Karadag A S, Harman A, Boyvat F, Bilgic S
Department of Cardiovascular Surgery, Ankara Kecioren Research and Training Hospital, Ankara, Turkey.
Cardiovasc J Afr. 2011 Dec 12;22(6):e4-6. doi: 10.5830/CVJA-2010-077.
Behçet's disease is a multisystem inflammatory disorder that is classified among the vasculitides and can affect all types and sizes of blood vessels. Vascular manifestations of Behçet's disease are venous and arterial occlusion, and arterial aneurysms. As vasculitis of the vasa vasorum is the main pathological hallmark of Behçet's disease, it is generally seen as superficial thrombo-phlebitis or occlusion of the major veins; however arterial obstruction and aneurysms may also be seen to a lesser extent. Iliac artery stenosis is highly uncommon. Here, a case of common iliac stenosis in a 48-year-old patient with Behçet's disease is reported. As the risk of aneurysm during an operation was high in this patient, he was treated with vascular stent implantation. Due to stent occlusion two months after the operation, percutaneous transluminal angioplasty was performed with an 8-mm balloon. During the three-year follow up, no obstruction was observed.
白塞病是一种多系统炎症性疾病,归类于血管炎,可累及所有类型和大小的血管。白塞病的血管表现为静脉和动脉闭塞以及动脉动脉瘤。由于滋养血管的血管炎是白塞病的主要病理标志,通常表现为浅表血栓性静脉炎或主要静脉闭塞;然而,动脉阻塞和动脉瘤在较小程度上也可能出现。髂动脉狭窄极为罕见。在此,报告一例48岁白塞病患者出现髂总动脉狭窄的病例。由于该患者手术期间动脉瘤形成风险高,故对其进行血管支架植入治疗。术后两个月因支架闭塞,使用8毫米球囊进行了经皮腔内血管成形术。在三年的随访期间,未观察到阻塞情况。