Carotid False Aneurysm: Complication of Behcet's Disease

Abstract

Behcet’s disease is a chronic inflammatory systemic disease of indeterminate etiology evolving by push, characterized by an oral bipolar aphtosis and ocular involvement. Vascular manifestations or angio-Behcet are dominated by venous thrombosis (80%), arterial involvement is rare, but they are often multifocal revealed much more by aneurysms than thromboses, whose risk is the rupture that can engage the life-threatening. Medical therapy with corticosteroids and immunosuppressants should be considered before and after any surgical treatment. We report the case of a 35-year-old man with a history of Behcet’s disease, admitted as part of the emergency for a preoperative carotid bulb aneurysm, who had undergone a flattening and closure of the internal carotid artery by prosthetic patch reinforced by pladjets. The evolution was good and medical treatment is undertaken.