Coronary artery disease in patients with Buerger's disease.
Buerger's disease (thromboangiitis obliterans) is a small- and medium-vessel vasculitis that predominantly involves the distal extremities. Coronary involvement in Buerger's disease is very unusual and rarely reported. We describe the unusual coronary angiogram findings of a 61-year-old Caucasian male with Buerger's disease who underwent cardiac catheterization for preoperative cardiac risk stratification prior to a carotid endarterectomy. Following the case presentation, we review the pathology, pathogenesis, and diagnostic criteria for Buerger's disease, and also include a review of the existing literature on coronary involvement in Buerger's disease.
Hong
Thomas E
TE
Section of Cardiology, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
Faxon
David P
DP
D016893:Carotid Stenosis / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D023921:Coronary Stenosis / Q000175:diagnosis; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D008875:Middle Aged; D013919:Thromboangiitis Obliterans / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery