Первая международная удаленная научно-практическая конференция

"Сердечно-сосудистая хирургия и ангиология - 2003"

First International Scientific Teleconference

"Cardiovascular Surgery and Angiology - 2003"

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M.Abid Allah, Y. Ettaoumi, J.Haddani, B.A.Mehadji

ANASTOMOTIC FALSE ANEURYSM AFTER AORTIC REPAIR IN BEHCET'S DISEASE

Cardiovascular Surgery Unit - Ibn Rochd University Hospital

Casablanca- Morocco

One of the most important aspects of Behcet's disease is aneurysmal formation. The major problem of this complication is its tendency to develop recurrent false aneurysm at anastomotic site. We report a proximal anastomotic false aneurysm witch complicated a true, sacciform , subrenal abdominal aortic aneurysm 18 months after its repair.

This was a 45 years old man, known to have a Behcet's disease 5 years ago. He was operated by grafting a 4cm length/3cm diameter Dacron prosthesis. The following up was marked 18 months later by a sudden appearence of abdominal and back pain witch was related to a 3/3 cm anastomotic proximal false aneurysm. As it was a highly risked to reoperate on, the management was medical associated immunosuppressor drugs with corticoid, stopping warfaring and observation. The false aneurysme started to thrombose since day 2 post admission and completly at day 3. There was no recurrency upto now 3 years later.

Correspondence:  obaidmuhcin@hotmail.com