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) اختصاصي جراحة الصدر و القلب و االوعية الدموية ( احمد عبداالمير دفار .د.م. أ
1
T hromboangiitis obliterans
(B uerger's disease)
Objective : To show the d efinition, etiology and management of Thromboangiitis
obliterans (Buerger's disease)
.
Etiology
There is a very strong association with smoking

Clinical manifestations

Thromboangiitis obliterans typically occurs in heavy smokers between 20 and 35 years of age of
both sexes. Unlike in atherosclerosis, the upper extremities are often involved and there is
frequently a history of migratory superficial phlebitis. Associated sy mptoms include Raynaud's
phenomen on & f oot claudication is particularly characteristic.
Exacerbations with smoking and remissions after abstinence from tobacco are typical of
thromboangiitis ob literans.
Treatment
- Smoking should be stopped
- Relief of pain using narcotics .
- Dorsal or lumbar sympathectomy.
- Anticoagulants
- Antiplatelets
- Pentoxif ylline
- Arterial reconstruction is usually impossible because of the dist al nature of the disease.
- When gangrene occurs, amputation at the lowest possible level is indicated.


رفعت المحاضرة من قبل: Mubark Wilkins
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