GENERALIZED DILATATIVE AND OCCLUSIVE VASCULAR-DISEASE - INFLAMMATORY ARTERITIS OR JUVENILE ARTERIOSCLEROSIS - A CASE-REPORT

In addition to generalized arteriosclerosis, connective tissue disease s, systemic necrotic arteritis, large-vessel vasculitis, and genetic m etabolic diseases have been described as the cause of stenotic and ane urysmal vessel wall alterations. Although unusual, these must be consi dered in the diagnosis of a generalized vascular disease with arterial occlusion and aneurysm formation in order to determine the appropriat e treatment procedure for the individual patient. Operative treatment should be avoided as long as possible for patients with Behcet's disea se or Marfan's syndrome but is indicated for any kind of juvenile arte riosclerosis combined with arterial stenosis and dilatation. The patie nt described in this case report could be successfully treated surgica lly even though the cause of juvenile arteriosclerosis was inexplicabl e, and the local complications accompanying the threatening rupture of the aneurysm could be controlled.