Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease
Joint Authors
Mastorakou, Irene
Georgiadis, Michael
Kanakis, Meletios A.
Mitropoulos, Fotios A.
Vassili, Maria
Eforakopoulos, Fotios
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-28
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Mitropoulos, Fotios A.& Eforakopoulos, Fotios& Kanakis, Meletios A.& Vassili, Maria& Mastorakou, Irene& Georgiadis, Michael. 2013. Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-512745
Modern Language Association (MLA)
Mitropoulos, Fotios A.…[et al.]. Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease. Case Reports in Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-512745
American Medical Association (AMA)
Mitropoulos, Fotios A.& Eforakopoulos, Fotios& Kanakis, Meletios A.& Vassili, Maria& Mastorakou, Irene& Georgiadis, Michael. Diagnostic and Therapeutic Approach in a Patient with Buerger’s and Coronary Artery Disease. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-512745
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512745