Coronary Artery Dissection in a Patient with Buerger’s Disease

Tekın, Ali; Arslan, Ümit

doi:10.21470/1678-9741-2018-0136

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Also, the involvement of the upper extremity has increases (60,62). Very rare cases of coronary (63), renal (64), retinal (65), splenic (66), or mesenteric (67) arteries involvement in the setting of Buerger's disease have been reported.…”

Section: Complicationsmentioning

confidence: 99%

Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis

Tarazjani

Sarabi

Saghebdoust

et al. 2021

Hormozgan medical journal

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The aim of this review was to assess several factors associated with Buerger’s disease or thromboangiitis obliterans (TAO), especially the immunological basis of this disease. We found that an established etiology for TAO has not been agreed on so far, but no one denies the strong association between TAO and tobacco consumption. Another possible etiology for this disease is bacterial infections such as Porphyromonas gingivalis and Rickettsia and their possible role via inflammatory processes. TAO was more common in low socioeconomic societies with poor hygiene. It may be attributable to the prevalence of Rickettsia infection because of the tick bite in these societies. In case of autoimmunity, it should be noted that T 17 cells keep the body away from autoimmune processes. The number of infiltrated CD4+ T cells in the arterial wall is higher than B cells. In fact, this may propose the significant role of T cells in the immunopathology of patients with TAO. The disease is also associated with tumor necrosis factor (TNF-α), interleukin (IL)-1β, IL-4, IL-17 and IL-23, as inflammatory cytokines. Antiphospholipid antibodies, anti-CL, anti-TLRVYK, anti-TLRIYT, anti-TLALYK, and anticardiolipin may also play a role in this disease. Further evidence is needed to shed light on the condition, especially in case of T cell lymphocytes’ role.

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Section: Complicationsmentioning

confidence: 99%

Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis

Tarazjani

Sarabi

Saghebdoust

et al. 2021

Hormozgan medical journal

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<p>Visceral bed involvement in thromboangiitis obliterans: a systematic review</p>

Fakour¹,

Fazeli²

2019

VHRM

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One of the challenges of thromboangiitis obliterans (TAO) management is in the patients whose other vascular beds are involved and it remains a challenge to know whether to pursue invasive procedures or to continue medical treatment for such TAO patients. The aim of this review was to investigate reports of the involvement of the visceral vessels in TAO and the related clinical manifestations, management approaches and outcomes. According to our systematic review, the frequency of published articles, the organs most commonly involved were the gastrointestinal tract, the heart, the central nervous system, the eye, the kidneys, the urogenital system, the mucocutaneous zones, joints, lymphohematopoietic system and the ear. Notably, reports of the involvement of almost all organs have been made in relation to TAO. There were several reports of TAO presentation in other organs before disease diagnosis, in which the involvement of the extremities presented after visceral involvement. The characteristics of the visceral arteries looked like the arteries of the extremities according to angiography or aortography. Also, in autopsies of TAO patients, the vascular involvement of multiple organs has been noted. Moreover, systemic medical treatment could lead to the recovery of the patient from the onset of visceral TAO. This study reveals that TAO may be a systemic disease and patients should be aware of the possible involvement of other organs along with the attendant warning signs. Also, early systemic medical treatment of such patients may lead to better outcomes and reduce the overall mortality rate.

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Coronary Artery Dissection in a Patient with Buerger’s Disease

Cited by 2 publications

References 7 publications

Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis

Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis

<p>Visceral bed involvement in thromboangiitis obliterans: a systematic review</p>

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