Buerger’s Disease – A Clinical Case

Authors

  • Urânia Fernandes Surgical Resident, General Surgery Department, Centro Hospitalar de Trás-os-Montes e Alto Douro; Clinical Academic Centre Trás-os-Montes e Alto Douro, Portugal https://orcid.org/0000-0001-7741-877X
  • João Vasconcelos Surgical Attending, Angiology and Vascular Surgery Department, Centro Hospitalar do Tâmega e Sousa, Portugal https://orcid.org/0000-0002-5866-7460
  • Rita Marques Clinical Academic Centre Trás-os-Montes e Alto Douro; Surgical Attending, General Surgery Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal
  • João Pinto-de-Sousa Clinical Academic Centre Trás-os-Montes e Alto Douro; Head of Department, General Surgery Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal https://orcid.org/0000-0001-6634-9756
  • João Almeida Pinto Head of Department, Angiology and Vascular Surgery Department, Centro Hospitalar do Tâmega e Sousa, Portugal

DOI:

https://doi.org/10.48729/pjctvs.259

Keywords:

Buerger`s disease, thromboangiitis obliterans, limb ischemia, peripheral artery disease

Abstract

Buerger’s disease is a distal segmental nonatherosclerotic vasculopathy that involves the inferior and superior limbs of smoker males younger than 45 years old.

This article aims to describe a clinical case and revise the literature about Buerger’s disease.

A 45-year-old smoker male repeatedly visited the emergency department for refractory pain and inflammatory signs in the right hallux. After developing ulcers in the right foot, Doppler ultrasonography revealed segmental occlusion of distal arteries of that limb. It was also observed in arteriography “corkscrew” collaterals. Autoimmune, thrombophilic and cardiovascular diseases were excluded.

Analgesia, antibiotics and alprostadil were implemented. As a result, the patient stopped smoking and was submitted to minor amputation with complete healing, after which he remained asymptomatic.

Buerger’s disease is a diagnosis of exclusion. Therefore, smoking cessation is the most effective treatment and is crucial to prevent disease progression.

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Author Biography

João Pinto-de-Sousa, Clinical Academic Centre Trás-os-Montes e Alto Douro; Head of Department, General Surgery Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal

 

 

References

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Cooper LT, Tse TS, Mikhail MA, et al. Long-term survival and amputation risk in thromboangiitis obliterans (Buerger's disease). J Am Coll Cardiol 2004; 44:2410.

Modaghegh MS, Hafezi S. Endovascular Treatment of Thromboangiitis Obliterans (Buerger's Disease). Vasc Endovascular Surg. 2018 Feb;52(2):124-130. doi: 10.1177/1538574417744085. Epub 2017 Dec 13. PMID: 29237360.

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Published

07-07-2023

How to Cite

1.
Fernandes U, Vasconcelos J, Marques R, Pinto-de-Sousa J, Almeida Pinto J. Buerger’s Disease – A Clinical Case. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jul. 7 [cited 2024 May 22];30(2):59-61. Available from: https://pjctvs.com/index.php/journal/article/view/259

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Clinical Cases

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