Behçet’s syndrome is a multisystem disorder presenting with recurrent oral and genital ulcerations as well as
ocular involvement. Vascular complications consist of venous thromboembolism, arterial aneurysms and
occlusions, and they develop in about 25% of patients. Weakening of the aortic wall may lead to aneurysms
that may rupture and cause life-threatening hemorrhage, but nothing in the surgical and nonsurgical techniques
proposed for the treatment for aneurysms in Behçet’s syndrome has proved to be satisfactory. The traditional
treatment for thoracic aotic aneurysms is the surgical replacement of a prosthetic graft. Although advances in the
operative care of patients with thoracic aortic aneurysms have been achieved, the associated morbidity and
mortality are considerable, especially in those with coexisting conditions such as advanced age, coronary artery
disease and heart failure. Currently,transluminally placed endovascular stent-grafts offer an alternative approach
to treatment that is potentially less invasive with a lower risk. We report a 37-year-old male patient with thoracic
aortic aneurysm associated with Behçet’s syndrome. Transluminal endovascular stent-graft placement was
attempted:the stent-graft was introduced through a 22-Fr sheath using a common femoral artery cut down and
expanded to 25-30 mm in diamter. There was increased thrombosis of the aneurysm on a follow-up imaging
study, and the patient was discharged without complications.