Coronary Artery Dissection in a Patient with Buerger's Disease

Area of Science:

• Cardiovascular Medicine
• Vascular Surgery
• Rheumatology

Background:

• Buerger's disease is a rare, non-atherosclerotic vasculitis affecting small and medium vessels, typically in the limbs.
• Coronary artery involvement in Buerger's disease is infrequent, and dissection has not been previously documented.

Observation:

• A 45-year-old male patient presented with symptoms suggestive of coronary artery compromise.
• Diagnostic imaging revealed coronary artery dissection in the context of Buerger's disease.

Findings:

• The patient was diagnosed with Buerger's disease and concurrent coronary artery dissection.
• Surgical intervention involved coronary artery bypass grafting using the left internal mammary artery and a saphenous vein graft.

Implications:

• This case expands the known vascular manifestations of Buerger's disease.
• Highlights the importance of considering Buerger's disease in young patients with arterial occlusive events, including coronary dissection.
• Demonstrates the successful surgical management of this rare complication.