Buerger's disease and coronary artery disease.

The authors report the case of a 33 year old man with distal occlusive arte rial disease diagnosed as Buerger's disease, with two previous transient is chaemic attacks and coronary disease resulting, in myocardial infarction. C oronary angiography showed narrowing of the second segment of the left ante rior descending artery, occluded distally and not suitable for revascularis ation. The observation of coronary artery disease is very rare in Buerger's diseas e and data of coronary angiography are very sparse in this context. The occ urrence of myocardial infarction and the angiographic appearances of the le ft anterior descending artery raise the question of coronary involvement of Buerger's disease.