A Case of Carotid Artery Aneurysm Associated with Vasculo-Behcet Disease.

VernacularTitle:頚動脈りゅうを呈した血管型Ｂｅｈｃｅｔ病の１例
Author: Takashi Hachiya ; Hiroshi Kaneko ; Hiroshi Mitsuoka ; Satoshi Nakamura ; Shozo Baba ; Kenichi Koyano
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 1995;24(2):136-139
CountryJapan
Language:Japanese
Abstract: Ulcer developed on the left leg of a 47-year-old man, in 1989, and phlebography showed deep vein thrombosis extending from the politeal to the common femoral vein. Subfascial ligation of the perforators achieved healing of the ulcers. In November 1991, at the age of 52 years the patient noticed a pulsatile mass on the right side of his neck. CT scanning showed a carotid artery aneurysm 4cm in diameter. Angiography indicated that the aneurysm was located at the bifurcation of the carotid artery. In February 1992, reconstructive surgery was performed with a Dacron graft, but an anterile abscess developed around the graft. In September 1992, the graft was removed and the carotid artery was ligated. Only seven cases of carotid aneurysm associated with Behçet's disease have previously been reported in Japan. Five of them underwent reconstructive surgery and two of them underwent carotid ligation due to complications. Because of the clinical course of Behçet's disease, carotid aneurysmectomy without reconstructive surgery may be the procedure of choice.