The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Endovascular Treatment of an Abdominal Aortic Pseudoaneurysm in a Patient with Behçet's Disease

베체트병 환자의 복부 가성 대동맥류 혈관 내 스텐트 그라프트 치료

  • Jang, Hye Yoon (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Choi, Jong Hyun (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Nam, Yoon Jeong (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Jeon, Moo Song (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Lee, Hye Won (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Kim, Sang Pil (Department of Thoracic and Cardiovascular Surgery, Pusan University Hospital, Pusan National University School of Medicine) ;
  • Lee, Han Cheol (Division of Cardiology, Department of Internal Medicine, Pusan University Hospital, Pusan National University School of Medicine)
  • 장혜윤 (부산대학교 의과대학 부산대학교병원 순환기내과) ;
  • 최종현 (부산대학교 의과대학 부산대학교병원 순환기내과) ;
  • 남윤정 (부산대학교 의과대학 부산대학교병원 순환기내과) ;
  • 전무송 (부산대학교 의과대학 부산대학교병원 순환기내과) ;
  • 이혜원 (부산대학교 의과대학 부산대학교병원 순환기내과) ;
  • 김상필 (부산대학교 의과대학 부산대학교병원 흉부외과) ;
  • 이한철 (부산대학교 의과대학 부산대학교병원 순환기내과)
  • Received : 2013.04.10
  • Accepted : 2013.07.10
  • Published : 2014.04.01
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Abstract

Behçet's disease shows systemic involvement, including mucocutaneus, ophthalmical, neurological, pulmonary, gastrointestinal, urogenital, mucoskeletal, and cardiovascular disorders. Aneurysmal changes develop in 65% of patients with arterial involvement and are associated with a poor prognosis. Although many attempts have been made to surgically manage these serious arterial lesions, several reports have shown a high recurrence rate and operation-related complications. Stent-graft placement has been indicated for the treatment of pseudoaneurysms and aneurysms in patients with a high surgical risk, including those with Behçet's disease. We herein describe an abdominal aortic pseudoaneurysm in a patient with Behçet's disease that was successfully treated with stent-graft insertion without an endoleak after 36 months of follow-up.

베체트병에서 발생하는 복부 가성 대동맥류는 그 빈도는 드물지만 주요 사망 원인 중의 하나로 임상적 중요도가 높은 혈관염 합병증이다. 만성적인 혈관의 염증상태로 인하여 수술적 치료 후 재발 및 가성 대동맥류의 형성 빈도가 높아 스텐트 이식편을 이용한 비침습적 방법이 대안으로 제시되고 있다. 저자들은 베체트병으로 진단받은 46세 남자 환자에서 발생한 거대 복부 가성 대동맥류를 수술 위험도와 재발의 위험을 고려하여 스텐트 이식편 삽입으로 3년간 효과적으로 치료된 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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