Large Ruptured Carotid Artery Pseudo-aneurysm in Behcet’s Disease: Report of a Case

摘要

This is a case report of a 36-year-old male with Behcet’s disease (BD) whose bilat- eral extracranial carotid arteries were involved. Computed tomography angiography showed a large ruptured pseudo-aneurysm of the left common carotid artery, and complete occlusion of the right one. The pseudo-aneurysm was excised and the left common carotid artery was repaired with an expanded polytetrafluoroethylene patch successfully. To our knowledge, this is the first ruptured and largest carotid pseudo-aneurysm in BD reported in the literature, combined with complete occlusion of the contralateral carotid artery in the meantime, which obviously increased surgical difficulty and risk of irreversible cerebral ischaemia during operation.