Abdominal aortic aneurysm healed with calcification in a female patient with Behçet's syndrome: A case report with a 2‐decade follow‐up

Author:

Tuzun Hasan1ORCID,Ak Tumay2ORCID,Bas Ahmet3ORCID,Kara Ozge2ORCID,Gulsen Fatih3ORCID,Seyahi Emire45ORCID

Affiliation:

1. Department of Cardiovascular Surgery Istanbul University‐Cerrahpasa, Cerrahpasa Medical Faculty Istanbul Turkey

2. Department of Internal Medicine Istanbul University‐Cerrahpasa, Cerrahpasa Medical Faculty Istanbul Turkey

3. Department of Radiology Istanbul University‐Cerrahpasa, Cerrahpasa Medical Faculty Istanbul Turkey

4. Division of Rheumatology, Department of Internal Medicine Istanbul University‐Cerrahpasa, Cerrahpasa Medical Faculty Istanbul Turkey

5. Behçet's Disease Research Center Istanbul University‐Cerrahpasa Istanbul Turkey

Abstract

AbstractAbdominal aortic aneurysms (AAA) are rare in Behçet syndrome (BS) but may result in life‐threatening complications. AAA are generally treated with surgical intervention following aggressive immunosuppressive therapy. Healing with wall calcification and mural thrombus for AAA is scarcely reported in the literature. Herein, we present a female patient who developed a large saccular aneurysm in the infra‐renal abdominal aorta 6 months after the diagnosis. Endovascular intervention was not found to be possible because of the dimensions of the aneurysm and the patient did not consent for open surgery. Therefore, she received only immunosuppressive treatment. By the second year of follow‐up, we detected reduction in the size of AAA, along with circumferential wall calcification and mural thrombus. The patient was followed‐up for 20 years without rupture and currently doing well. This case demonstrates that calcified large saccular AAA might not necessitate surgical intervention and be followed‐up for many years without any complication.

Publisher

Wiley

Subject

Rheumatology

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