Scholarly Journal of Surgery Volume 1: 1 Scholarly J Surg 2016 Surgical Repair of Behçet’s Aortic Aneurysms in the Era of Endovascular Surgery Article Information Ahmed Mousa 1, 2* Ibrahim Hanbal 1 Alaa Sharabi 1 Ossama M. Zakaria 2 Ahmed M. Odeh 2 Abdelfattah K. Nassar 3 Sami Abdulhakim 3 1 Department of Vascular and Endovascular Surgery, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar University, Cairo, Egypt 2 Divisions of Vascular and General Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia 3 Department of Rheumatology and Rehabilitation, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar University, Cairo, Egypt Article Type: Research Article Number: SJS101 Received Date: 06 January, 2016 Accepted Date: 24 January, 2016 Published Date: 27 February, 2016 *Corresponding author: Dr. Ahmed Mousa, Assistant Professor of Vascular Surgery, Department of Vascular Surgery, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar University, Cairo, Egypt. Assistant Professor of Vascular Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia. Tel: +20 122 413 7887; +966 559904848 E-mails: isvascular@yahoo.com & asgbi@azhar.edu.eg Citation: Mousa A, Hanbal I, Sharabi A, Zakaria OM, Odeh AM, et al. (2016) Surgical Repair of Behçet’s Aortic Aneurysms in the Era of Endovascular Surgery. Scholarly J Surg. Vol: 1, Issu: 1 (01-07). Copyright: © 2016 Mousa A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Background: We described an operative surgical repair of abdominal aortic aneurysms in patients with Behçet’s disease followed by the application of an outer layer of the same used graft material wrapped around the vascular anastomoses in combination with pre- and post- operative immunosuppressive therapy to protect it from postoperative pseudoaneurysm formation. Methods: We retrospectively evaluated both the open surgical repair of abdominal aortic aneurysms repair and immunosuppressive medication as an adjuvant treatment in patients with Behçet’s disease, during the period from January 2010 to December 2013. Patients’ data were collected, and clinically evaluated. The imaging investigations, the surgical procedure, graft selection, graft-related complications were analyzed. Operative intervention was performed for symptomatic patients, and patients with expanding aneurysms ≥ 5.5 cm. Those patients who had having Behçet’s carotid aneurysms, patients with thoraco-abdominal aortic aneurysms, patients with peripheral arterial aneurysms and those patients with venous system involvement were excluded from the study. Results: Ten patients included in the study. There were 8 males and 2 females; the male-to-female ratio, (4:1) with the mean age of 34 ± 2 years (range 25-40 years old). Nine out of 10 patients were presented with concomitant infrarenal abdominal aortic aneurysms and bilateral iliac artery aneurysms and the remaining patient presented with an isolated infrarenal abdominal aortic aneurysm. Immunosuppressive therapy was given pre- and post-operatively. Heparin-bonded synthetic Dacron ® Y-shaped graft was used for patients with concomitant abdominal aortic and iliac aneurysms (n=9) and tube graft was used for the isolated infrarenal abdominal aortic aneurysm (n=1). None of the postoperative complications were observed especially, anastomotic pseudoaneurysm, however, no other graft-related complications were observed after 2 years of follow up. Conclusion: Surgical repair of abdominal aortic aneurysms in patients with Behçet’s disease using the wrapping technique at the site of vascular anastomoses as a prophylactic measure to prevent postoperative pseudoaneurysm formation, in combination with immunosuppressive therapy is feasible, safe and effective technique associated with low morbidity and mortality. Keywords: Abdominal aortic aneurysm, Behçet’s disease, Anastomotic pseudoaneurysm, Heparin-bonded Dacron ® graft, Prosthetic prophylactic wrapping, Reinforcement of vascular anastomosis.