Abstract
This case report described a patient of Behçet disease (BD)-related vascular lesions that initially presented as occlusion of superior vena cava (SVC) without any evidence of thrombosis. The patient was treated first by percutaneous transluminal angioplasty and stent implantation, and he developed thrombosis in the stent and then received open bypass operation. Pathologic examination of the SVC specimen and the postoperative manifestations revealed that the underlying cause of his symptoms as BD. Afterward, methylprednisolone plus anticoagulant therapy was routinely given, which relieved the symptoms of the patient.
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
MeSH terms
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Adult
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Angiography, Digital Subtraction
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Angioplasty, Balloon / adverse effects
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Angioplasty, Balloon / instrumentation
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Anticoagulants / therapeutic use
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Behcet Syndrome / complications*
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Behcet Syndrome / diagnosis
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Behcet Syndrome / therapy
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Biopsy
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Blood Vessel Prosthesis Implantation
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Glucocorticoids / therapeutic use
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Humans
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Magnetic Resonance Angiography
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Male
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Methylprednisolone / therapeutic use
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Stents
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Superior Vena Cava Syndrome / diagnosis
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Superior Vena Cava Syndrome / etiology*
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Superior Vena Cava Syndrome / therapy
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Thrombosis / etiology
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Thrombosis / therapy
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Tomography, X-Ray Computed
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Treatment Outcome
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Vena Cava, Superior* / diagnostic imaging
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Vena Cava, Superior* / pathology
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Vena Cava, Superior* / surgery
Substances
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Anticoagulants
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Glucocorticoids
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Methylprednisolone