A Rare Case of Abdominal and Thoracic Aortic Aneurysm Complicated with Buerger's Disease
10.4326/jjcvs.35.347
- VernacularTitle:Ｂｕｅｒｇｅｒ病に合併した腹部大動脈瘤，胸部大動脈瘤に対する１手術例
- Author:
Satoshi Hayashi
;
Hiroki Yoshida
;
Hirokatsu Sugimoto
;
Yuka Kajiura
;
Kazutomo Goh
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(6):347-350
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of a 73-year-old man with abdominal and thoracic aortic aneurysms complicated with Buerger's disease. He complained of abdominal pain, nausea and an abdominal pulsatile mass. Computed tomography and angiography revealed an abdominal aortic aneurysm (58mm in diameter) and a thoracic aortic aneurysm (47mm in diameter). Y graft replacement was performed for abdominal aortic aneurysm. The size of the thoracic aortic aneurysm increased from 47mm to 60mm in 3 years, and hoarseness appeared. We then performed graft replacement of the thoracic aorta. In cases of Buerger's disease, we have to consider perfusion of the extremities when we need extracorporeal circulation, and we must shorten ischemic interval.
