A Case of Buergerfs Disease Associated with Angina Pectoris and Carotid Stenosis

(Heart Circulatory Center, Southern Tohoku General Hospital and Southern Tohoku Research Institute for Neuroscience, Koriyama, Japan and Department of Cardiovascular Surgery, Hoshi General Hospital*, Koriyama, Japan)

Shoichi Takahashi* Megumu Kanno Tohru Sakurada
Shigehiro Morishima Masatomo Honda Yasuharu Imai
A 60-year-old male who had a history of Buergerfs disease was admitted due to chest pain on exertion. Coronary angiography showed severe double vessel disease (the left anterior descending artery and the right coronary artery). Carotid angiography showed severe stenosis of the left internal carotid artery associated with brain ischemia. In addition, angiography of the lower extremities showed segmental occlusion and collateral arteries resembly a gcorkscrewh appearance. We implanted a stent in the carotid artery followed by revascularization surgery of the left lower leg and simultaneous coronary artery bypass surgery. The postoperative course was excellent.
@Jpn. J. Cardiovasc. Surg. 34: 331-333 (2005)