Aortic involvement in Buerger's disease

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Abstract
The clinical, histological, and radiological appearances of a 37-year-old man with Buerger's disease are presented. Over the course of one-and-a-half years the patient required bilateral lower limb amputations and was found to have occlusion of the abdominal aorta and iliac arteries. The diagnosis of thrombo-angiitis obliterans is discussed with reference to other possible causes of the aortic occlusion. It seems most likely that this patient's aortic occlusion is in fact a manifestation of Buerger's disease.

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