de Souza Nathalia Leslie Albanez Rodrigues, Siqueira Daniel Emílio Dalledone, Cantador Alex Aparecido, Rossetti Leandro Pablos, Molinari Giovani José Dal Poggetto, Guillaumon Ana Terezinha
Universidade Estadual de Campinas - UNICAMP, Departamento de Cirurgia, Campinas, SP, Brasil.
J Vasc Bras. 2017 Apr-Jun;16(2):162-167. doi: 10.1590/1677-5449.009416.
Behçet’s disease is an autoimmune, multifactorial, systemic condition with several clinical manifestations, including vascular disorders. An aortic aneurysm with vertebral erosion is rare in association with this pathology and there are only four case reports listed on the PubMed database. This article reports the case of a female patient with a long-standing diagnosis of Behçet’s Disease who developed a saccular infrarenal abdominal aortic aneurysm with lumbar vertebral erosion. Her surgical treatment consisted of endovascular repair with a monoiliac endoprosthesis and a femorofemoral crossover bypass, because of limitations imposed by the anatomy of the aortic bifurcation. This paper discusses the rarity of this presentation of the disease and treatment outcomes and offers a brief review of the relevant literature.
白塞病是一种自身免疫性、多因素的全身性疾病，有多种临床表现，包括血管病变。伴有椎体侵蚀的主动脉瘤与这种病理情况相关较为罕见，在PubMed数据库中仅有4例病例报告。本文报告了一名长期诊断为白塞病的女性患者，她出现了伴有腰椎椎体侵蚀的囊状肾下腹主动脉瘤。由于主动脉分叉处解剖结构的限制，她的手术治疗包括使用单髂内血管腔内修复术和股-股交叉旁路移植术。本文讨论了该疾病这种表现的罕见性和治疗结果，并对相关文献进行了简要综述。
