診断に苦慮し4 回の大動脈弁置換術を要したBehçet 病による再発性大動脈弁輪破壊の1 例

Surgical results of aortic regurgitation with Behcet’s aortitis is associated with high morbidity and mortality due to risk of annular dehiscence. Here we describe a case of severe aortic regurgitation with Behcet’s disease in 51-year-old man who underwent aortic valve replacement and subannular patch reconstruction for suspected infectious endocarditis with severe aortic regurgitation and subannular abcess. Then we performed three times aortic valve replacement for recurrent prosthetic valve dehiscence. Before the fourth operation, the patient was diagnosed with Behcet’s disease and given immunosuppressant. Postoperative course was uneventful and he was discharged on postoperative day 59th, and doing well.