• Ze-Yang Ding, Guan-Nan Jin, Xi Ai, Li-Yan Li, Ping Zheng, Yan Guan, Qi Wang, Zhi-Wei Zhang, and Jun Yang.
• From the Division of Vascular Surgery, Hepatic Surgery Center, Tongji Hospital (ZD, XA, LL, PZ, YG, QW, ZZ, JY); and Department of Nephrology, Union Hospital (GJ), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Medicine (Baltimore). 2016 May 1; 95 (19): e3545e3545.

AbstractAneurysm or pseudoaneurysm formation is one of the vascular complications of Behcet disease. At present, the optimal treatment for the disease has not been established.The authors report a case of vasculo-Behcet disease (v-BD) with recurrent pseudoaneurysms in the left infrainguinal arteries (common femoral artery, superficial femoral artery, and popliteal artery), as well as thrombosis in the popliteal vein and posterior tibial vein. The patient underwent 3 rounds of surgery, but developed a new pseudoaneurysm several months after each surgery. Eventually, the patient was successfully treated with a combination of endovascular repair, using a fully covered stent graft, and prednisone. The pseudoaneurysm regressed without recurrence for more than 1 year.For v-BD, treatment with immunosuppressive therapy alone may not be sufficient to prevent the recurrence of pseudoaneurysms. For the endovascular treatment of pseudoaneurysms affecting the infrainguinal arteries in v-BD, a fully covered stent graft without oversizing is essential to prevent the recurrence of pseudoaneurysms.

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