H. Hirose et al., Coronary revascularization and abdominal aortic aneurysm repair in a patient with Behcet's diseases, J CARD SURG, 39(6), 1998, pp. 751-755
Behcet's disease is a systemic disease characterized by oral aphta, genital
ulcer, and ocular lesion. Arterial involvement is an uncommon complication
of Behcet's disease, and it most frequently affects the abdominal aorta fo
llowed by the femoral artery and the pulmonary artery. Coronary lesions in
Behcet's disease have been little reported in the literature. In this commu
nication, we present a case with coronary artery stenosis and with subseque
ntly developed supra-renal abdominal aortic aneurysm. The coronary lesions
were revasculized with gastroepiploic artery, right internal mammary artery
, and saphenous vein graft. Abdominal aortic repair was performed with part
ial cardiopulmonary stand by, because of the risk of coronary ischemia duri
ng the cross clamp including the celiac artery. To our knowledge, this is t
he first report of successful repair of combined lesions of the coronary an
d the abdominal aorta in a patient with Behcet's disease.