Innominate artery aneurysm in behcet disease; report of one case

Abstract

Introduction: Behçet disease (BD) is a multisystemic recurrent inflammatory disorder that was originally described as a triad of oral and genital ulcerations with uveitis (Behcet, 1937 [1]). Arterial involvement is the most common cause of mortality in patients with BD. Aneurysms are common among the arterial lesions and affect various arteries, but mostly the abdominal aorta. Vascular lesions are encountered in 7 %-29 % of patients, gravely affecting the course of the disease. Extracranial carotid aneurysms due to Behçet's disease are extremely rare (Bouarhroum et al. (2006) [2]).

Case presentation: Herein, we present a 19 year old man presented with hoarsness due to pressure effect to our outpatient clinic.

Clinical discussion: Due to findings in the computed angiography, he underwent surgery twice.A 100*8 COVERA-covered stent was deployed at the bifurcation of the brachiocephalic artery. Then a 40*13.5 FLUENCY stent with a 2 cm overlap from the previous stent was deployed.

Conclusion: Further investigations regarding endovascular approach for this rare disease is recommended.

Keywords: Aneurysm; Behcet disease; Case report; Endovascular; Innominate artery.