Egawa Y, Kitagawa T, Taki H, Miki O, Katoh I, Monden Y
2nd Department of Surgery, University of Tokushima, School of Medicine, Japan.
Kyobu Geka. 1993 Apr;46(4):351-4.
A 54-year-old female with incomplete type of Behçet's disease was operated on because of impending rupture of the thoracic aneurysm. There was a saccular pseudoaneurysm below the left subclavian artery, and a punched out lesion of the aorta was recognized. The defect of the aortic wall was closed with a PTFE patch. Before and after the operation, we have given prednisolone. The postoperative course was uneventful. Two years later, there was no recurrence of pseudoaneurysm near the PTFE patch. In many reports, aneurysms of Behçet's disease are saccular pseudoaneurysms, and have high incidence of complications about anastomosis postoperatively. We need a further follow-up about this patient.
一名54岁的不完全型白塞病女性因胸主动脉瘤即将破裂而接受手术。左锁骨下动脉下方有一个囊状假性动脉瘤，且发现主动脉有一个穿孔性病变。用聚四氟乙烯补片封闭主动脉壁缺损。手术前后均给予泼尼松龙。术后过程顺利。两年后，聚四氟乙烯补片附近假性动脉瘤无复发。在许多报告中，白塞病动脉瘤为囊状假性动脉瘤，术后吻合口并发症发生率高。我们需要对该患者进行进一步随访。
