Abstract
We report a rare case of critical limb ischemia due to Buerger's disease in which recanalization was confirmed in the popliteal artery with symptomatic improvement. A 42-year-old man who presented with critical limb ischemia was admitted to our hospital. He was found to have right popliteal artery occlusion due to Buerger's disease with skin ulcer and severe pain in his right foot. Conservative treatment such as anticoagulant therapy and lipo PGE1 infusion was started immediately, and the lumbar sympathectomy was performed on the day 12 after admission. Extensive recanalization was confirmed in the popliteal and peroneal arteries on arteriography performed on the day 17 after admission, and he was discharged without amputation or additional bypass surgery.
