Patient with ASO Who Underwent Redo Bypass Surgery 36 Years after the Initial Bypass for His Lower Limb in Buergers’ Disease

Abstract

A 64 year-old man undergone the original bypass surgery in his right lower limb due to Buerger’s disease 36 years ago. He had continued smoking after surgery and finally, the graft occluded at 33 years after operation. During an early period after occlusion, the symptom had been stable because he quitted smoking undoubtedly and he was prescribed various antithrombotic medications. However, he complicated diabetes and hyperlipidemia with aging and he suffered from a rest pain in his foot 3 years after the graft failure. Then, he successfully underwent redo bypass operation due to ASO using spliced vein grafts for limb salvage.