Amounts of coronary arterial luminal narrowing and composition of the material causing the narrowing in Buerger's disease

Mautner, Gisela C.; Mautner, Susanne L.; Lin, Faquan; Roggin, Gary M.; Roberts, William C.

doi:10.1016/0002-9149(93)90467-q

Cited by 17 publications

(9 citation statements)

References 12 publications

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“…Such involvement had been considered extremely rare until the 1980s, but more than ten cases have been reported during the last decade. 1,[9][10][11][12][13][14] Among these unusual forms of TAO, an intestinal type seems to be most common. Broide and associates reported the case of a young man with the unusual presentation of small bowel ischemia associated with TAO, 2 years before peripheral vascular disease of the extremities was clinically expressed.…”

Section: Discussionmentioning

confidence: 99%

Distribution of arterial involvement in thromboangiitis obliterans (buerger’s disease): Results of a study conducted by the Intractable Vasculitis syndromes research group in Japan

et al. 2000

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The clinical profile of thromboangiitis obliterans (TAO) has been changing. The purpose of this study was to clarify the distribution of arterial involvement in this disease, based on a nationwide survey carried out in 1993. A total of 825 TAO patients with complete records were analyzed. There were 749 men and 76 women, with a mean age of 50.8 +/- 0.4 years. The survey assessed clinical manifestations categorized by Fontaine's classification, distribution of the lesions, associated diseases, responses to treatment, and outcome. This study focused on the distribution of arterial involvement. There were 42 patients (5.1%) with upper-extremity arterial involvement only, 616 (74.7%) with lower-extremity involvement only, and 167 (20.2%) with both. The most frequently affected arteries were the anterior (41.4%) or posterior (40.4%) tibial arteries in the lower extremities, and the ulnar artery (11.5%) in the upper extremities. There were no significant differences in the distribution of arterial involvement between men and women or between the right and left sides. In conclusion, approximately 25% of the patients had upper-extremity involvement. The anterior or posterior tibial arteries were most commonly affected. There was no significant difference in the distribution of arterial involvement between male and female patients.

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Section: Discussionmentioning

confidence: 99%

Distribution of arterial involvement in thromboangiitis obliterans (buerger’s disease): Results of a study conducted by the Intractable Vasculitis syndromes research group in Japan

et al. 2000

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“…Thromboangiitis obliterans (Buerger's disease) is an inflammatory peripheral vascular disease that affects distal small‐ and medium‐sized blood vessels of both the upper and lower extremities. This disease process also appears to affect other vascular beds and a few reports of Buerger's disease affecting the coronary arteries also exist [1–3].…”

Section: Introductionmentioning

confidence: 99%

Beyond peripheral arteries in Buerger's disease: Angiographic considerations in thromboangiitis obliterans

Hoppe

Thistlewaite

et al. 2002

Cathet Cardio Intervent

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Thromboangiitis obliterans is an inflammatory peripheral vascular disease that is strongly associated with smoking. It predominantly affects distal small- and medium-sized blood vessels of both the upper and lower extremities. We present histological evidence of this disease process affecting the internal mammary arteries. This can be of paramount clinical significance for patients with Buerger's disease who present with obstructive coronary artery disease and require coronary artery bypass grafting surgery (CABG). Internal mammary arteries involved with thromboangiitis obliterans cannot be utilized as arterial conduits during CABG and other alternatives have to be used. Therefore, we recommend preoperative angiography of both internal mammary arteries in patients with Buerger's disease requiring CABG to prevent extensive intraoperative dissection of diseased internal mammary arteries.

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“…Mautner and colleagues reviewed 13 published cases of Buerger's disease in which the coronary arteries were studied histologically. Atherosclerosis was the predominant histological finding, with the coexistence of lesions consistent with Buerger's disease [8]. …”

Section: Discussionmentioning

confidence: 99%

Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease

Mitropoulos

Eforakopoulos

Kanakis

et al. 2013

Case Reports in Medicine

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Occlusive coronary artery disease coexisting with Buerger's disease has rarely been reported. Potential difficulties regarding diagnostic workup and therapeutic management in this group of patients are discussed through this case report. We present an interesting case of a 52-year-old patient suffering from Buerger's disease, with a history of generalized peripheral occlusive arteriopathy, who presented with acute coronary syndrome. A difficulty in accessing and performing coronary angiography was evident due to the vascular status of the patient. Diagnosis was performed by computed tomography (CT) of the coronary arteries. It showed 80–90% obstruction of the LAD, and since percutaneous coronary intervention was impossible, a single aortocoronary bypass grafting was performed with the off-pump technique. Coronary artery disease coexisting with Burger's disease is a rare entity, and CT angiography is a useful diagnostic tool, when the classic angiography could not be performed. In addition, off-pump coronary artery bypass should be the therapeutic option of choice in this high risk group of patients. The uncomplicated postoperative course of the patient and his hitherto good condition showed that both diagnostic and therapeutic procedures were the best possible.

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Amounts of coronary arterial luminal narrowing and composition of the material causing the narrowing in Buerger's disease

Cited by 17 publications

References 12 publications

Distribution of arterial involvement in thromboangiitis obliterans (buerger’s disease): Results of a study conducted by the Intractable Vasculitis syndromes research group in Japan

Distribution of arterial involvement in thromboangiitis obliterans (buerger’s disease): Results of a study conducted by the Intractable Vasculitis syndromes research group in Japan

Beyond peripheral arteries in Buerger's disease: Angiographic considerations in thromboangiitis obliterans

Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease

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