2023 年 4 巻 3 号 p. 114-120
Buerger disease or thromboangiitis obliterans is a non-atherosclerotic, segmental, inflammatory, peripheral arterial occlusive disease in young male smokers. Revascularization via endovascular treatment and/or bypass surgery is less common and is technically challenging in patients with Buerger disease. Herein, we report the case of a 30-year-old male patient who underwent endovascular treatment followed by bypass surgery, which successfully salvaged his critically ischemic limbs. This case demonstrates that a revascularization strategy for critical limb ischemia due to Buerger disease could be beneficial for limb salvage. To achieve effective limb salvage, a collaborative approach among endovascular specialists, vascular surgeons, and reconstructive surgeons is recommended.