Acute Myocardial Infarction in a Patient with Buerger`s disease A Case Report and A Review of the Literature

Abstract

A twenty-nine year old male smoker with a three year history of Buerger’s disease was admitted with excruciating precordial chest pain. The electrocardiogram indicated an anterior transmural infarction, and he also exhibited hypereosinophilia.A coronary angiogram disclosed a partial segmental occlusion of the left anterior descending artery at the proximal portion. He was discharged without any complications after conservative managment.

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“… Note: satellite lymph nodes were enlarged. Recovery and no onset of any angina during 8 months follow-up 12 1993 Mautner et al (New York, USA) 46 1 37 years Prolonged chest pain with T-wave inversion in leads I, aVL, and V4 to V6 TAO diagnosis is unknown because the histology report of coronary arteries during autopsy is more supportive for diffuse atherosclerosis 5 years earlier history of acute femoral artery occlusion and above knee amputation of both legs with one year intervals One pack of cigarettes for 15 years Coronary angiography About 75% stenosis of left circumflex coronary artery Intravenous streptokinase Death due to mesenteric ischemia 13 1987 Kim et al (Korea) 47 1 29 years Continuous substernal chest pain for 3 days due to anterior myocardial infarction TAO diagnosis at the time of admission for chest pain confirmed by upper and lower limbs angiography Unknown Coronary angiography Segmental occlusion of proximal LAD Complete occlusion of the first diagonal branch of LAD in the distal portion, irregular and tortous contour of RCA without obvious luminal narrowing Conservative treatment with nitrate, beta blocker and calcium channel blocker Recovery No data about the duration of follow-up 14 1985 Ohno et al (Japan) 48 1 32 years Severe chest pain at rest for 3 hrs due to acute myocardial infarction TAO diagnosis 6 years earlier and one BK and one toe amputation during this time 41–60 cigarettes per day for 12 years Coronary angiography revealed 70% stenosis of RCA and the proximal LAD Urokinase Discharged with vasodilator and anticoagulant therapy Recovery (About 1 month follow-up) …”