Involvement of the coronary artery in a patient with thromboangiitis obliterans. A case report

Becit N., Unlu Y., Kocak H., Ceviz M.

HEART AND VESSELS, cilt.16, sa.5, ss.201-203, 2002 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 5
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1007/s003800200023
  • Dergi Adı: HEART AND VESSELS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.201-203
  • Anahtar Kelimeler: coronary artery disease, thromboangiitis obliterans, coronary artery bypass grafting, BUERGERS-DISEASE
  • Atatürk Üniversitesi Adresli: Evet

Özet

We report a case of coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA) and a saphenous vein graft in a 36-year-old man with Buerger's disease. He was hospitalized in the coronary intensive care unit with a diagnosis of acute myocardial infarction. His coronary angiography showed total occlusion of the proximal segment of the left anterior descending artery (LAD) and right coronary artery. Left ventricular dysfunction was detected by ventriculography. The patient had undergone bilateral sympathectomy of the lumbar branches for distal arterial occlusions due to thromboangiitis obliterans 12 years previously. Under cardiopulmonary bypass and aortic cross-clamping, we performed endarterectomy and a complex bypass procedure to LAD. Aorta-right coronary artery bypass was also applied. A histopathological study of an endarterectomy specimen showed characteristic features of thromboangiitis obliterans. The postoperative course was uneventful and the patient was discharged on the ninth postoperative day.