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Surgical treatment of Behcet's disease with severe aortic regurgitation

Journal

FRONTIERS IN CARDIOVASCULAR MEDICINE
Volume 10, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fcvm.2023.1290615

Keywords

aortic regurgitation; surgical treatment; Behcet's disease; diagnosis; medicine therapy

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Behcet's disease is a rare inflammatory disease that affects multiple systems and can cause aortic regurgitation. Due to the unique pathogenesis of the disease, there is a low preoperative diagnosis rate and a high risk of complications after surgery, resulting in poor prognosis for patients with severe aortic regurgitation in Behcet's disease.
Behcet's disease (BD) is a multisystem inflammatory disease that is characterized by oral aphthosis, genital aphthosis, ocular lesions, and cutaneous lesions. Although BD rarely affects the cardiovascular system, its symptoms can be shown as aortic regurgitation (AR), which requires surgical intervention. Due to the special pathogenesis of BD, a low preoperative diagnosis rate and a high incidence of serious complications, such as perivalvular leakage, valve detachment, and pseudoaneurysm after prosthetic valve replacement, surgical treatment of BD with severe AR has a poor prognosis. In recent years, new surgical strategies have been developed to improve treatment efficacy for this disease. This article reviews and summarizes the evolution of surgical techniques for BD with AR and aims to provide a reference for optimizing surgical strategies, improving perioperative management, and assisting prognosis in patients suffering from BD with severe AR. Behcet's disease with severe aortic regurgitation-what we should know.

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