Successful open surgery for recurrent pseudo-aneurysm after endovascular aneurysm repair in a patient with Behçet's disease

Abdominal aortic aneurysm (AAA) is a life-threatening complication in patients with Behçet's disease. Recently, endovascular aneurysm repair (EVAR) has been reported with acceptable short-term outcomes. However, we report a case in which open surgery was required for a recurrent pseudo-aneurysm after EVAR. A 54-year-old man with Behçet's disease was diagnosed with a pseudo-aneurysm at the proximal margin of a previously inserted stent graft for AAA. We performed open surgery for removal of the stent graft and reconstruction of the left accessory renal artery. Long-term outcomes of EVAR in patients with Behçet's disease are not necessarily acceptable.