Involvement of the coronary artery in a patient with thromboangiitis obliterans. A case report |
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Authors: | Becit Necip Unlü Yahya Koçak Hikmet Ceviz Münacettin |
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Institution: | (1) Department of Cardiovascular Surgery, Atatürk University School of Medicine, Erzurum, Turkey Tel. +90-442-316-6333 (ext. 2149); Fax +90-442-316-6340 e-mail: necipbecit@hotmail.com, TR |
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Abstract: | 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.
Received: November 19, 2001 / Accepted: February 16, 2002 |
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Keywords: | Coronary artery disease Thromboangiitis obliterans Coronary artery bypass grafting |
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