Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.01115
Jornal Vascular Brasileiro
Case Report

Correção endovascular de pseudoaneurisma toracoabdominal em paciente com Doença de Behçet

Endovascular repair of a thoracoabdominal pseudoaneurysm in a patient with Behçet’s disease

Paula Angeleli Bueno de Camargo; Matheus Bertanha; Regina Moura; Marcone Lima Sobreira; Rodrigo Gibin Jaldin; Ricardo de Alvarenga Yoshida; Rafael Elias Farres Pimenta; Winston Bonetti Yoshida

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Resumo

Resumo A Doença de Behçet é uma doença inflamatória caracterizada por úlceras genitais e orais recorrentes, uveítes e lesões cutâneas. O envolvimento arterial é raro, sendo mais comuns as degenerações aneurismáticas do que as oclusivas. Neste caso clínico, paciente do sexo feminino, em tratamento de doença de Behçet havia 20 anos, iniciou com dor abdominal progressiva por dois meses, com piora súbita importante, foi submetida à tomografia computadorizada, que mostrou pseudoaneurisma toracoabdominal. A paciente foi submetida a tratamento endovascular com sucesso.

Palavras-chave

doença de Behçet, aneurisma aórtico, aneurisma dissecante, procedimentos endovasculares

Abstract

Abstract Behçet’s disease is an inflammatory disease characterized by recurrent oral and genital ulcers, uveitis and skin lesions. Arterial involvement is rare, but when present aneurysmal degeneration is more common than occlusive disease. This report describes the clinical case of a female patient who had been receiving treatment for Behçet’s disease for twenty years before presenting with abdominal pain that progressed for 2 months before suddenly worsening significantly. A CT scan revealed a thoracoabdominal pseudoaneurysm. She was successfully treated with endovascular repair.

Keywords

Behçet’s disease, aortic aneurysm, dissecting aneurysm, endovascular procedures

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