白塞病合并复发性胸主动脉瘤及股动脉瘤：一例报告并文献复习
Behcet's disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review.
作者信息
Zhang Shi-Huai, Zhang Fu-Xian
机构信息
Department of General surgery, Fuxing Hospital of Captial Medical University, No. 20 of Fuxingmenwai Street, Xicheng District, Beijing, 100038, China.
Department of Vascular surgery, Shijitan Hospital of Captial Medical University, Beijing, 100038, China.
出版信息
J Cardiothorac Surg. 2017 Sep 6;12(1):79. doi: 10.1186/s13019-017-0644-y.
Abstract
BACKGROUND
Aneurysm or pseudoaneurysm is the main vascular complication of Behcet's disease. Most hospitals adopt endovascular treatment.
CASE PRESENTATION
We report a case of Behcet's disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm. The patient underwent two rounds of endovascular surgery, but developed new aneurysms immediately after surgery. Eventually, the patient died due to rupture of recurrent aneurysm.
CONCLUSIONS
For vasculo-Behcet's disease, we suggest performing the operation during the stable period. At the same time, glucocorticoids could be used with immunosuppressants preoperatively and postoperatively.
摘要
背景
动脉瘤或假性动脉瘤是白塞病的主要血管并发症。大多数医院采用血管内治疗。
病例报告
我们报告一例白塞病合并复发性胸主动脉瘤及股动脉瘤的病例。该患者接受了两轮血管内手术，但术后立即出现新的动脉瘤。最终，患者因复发性动脉瘤破裂死亡。
结论
对于血管型白塞病，我们建议在病情稳定期进行手术。同时，可在术前及术后使用糖皮质激素联合免疫抑制剂。
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