[A case of coronary artery bypass grafting using arterial grafts in a patient with Buerger's disease].
A 50-year-old male with Buerger's disease underwent coronary artery bypass grafting (CABG) using left and right internal thoracic arteries (LITA and RITA). In our case, his saphenous veins could not be used because of migrating thrombophlebitis, and we could not use right gastroepiproic artery because he had undergone gastrectomy for gastroduodenal ulcer. He underwent CABG with LITA-left anterior descending artery and free RITA-right coronary artery. Postoperative coronary angiogram showed good patency of both grafts, and his postoperative course has been uneventful for 42 months. To our knowledge, there is no report of CABG in a patient with Buerger's disease, but we think the use of arterial grafts is useful in such cases.
Kumano
H
H
Department of cardiovascular Surgery, Osaka National, Hospital, Japan.
Kitamura
N
N
Yamaguchi
A
A
Noji
S
S
Shuntoh
K
K
Kimura
S
S
D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D013895:Thoracic Arteries / Q000637:transplantation; D013919:Thromboangiitis Obliterans / Q000150:complications*