Aortoiliac occlusive disease: Difference between revisions
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'''Associate Editor-In-Chief:''' {{CZ}} | '''Associate Editor-In-Chief:''' {{CZ}} | ||
==Overview== | ==Overview== | ||
'''Aortoiliac occlusive disease''', also known as '''Leriche's syndrome''' | '''Aortoiliac occlusive disease''', also known as '''Leriche's syndrome''' or '''Leriche syndrome''', is [[atherosclerotic]] occlusive disease involving the [[abdominal aorta]] and/or both of the [[iliac arteries]]. | ||
==Etymology== | |||
The condition was first described by Robert Graham in 1814, but the condition with its triad of symptoms was ascribed to René Leriche. Leriche, a French surgeon, linked the [[pathophysiology]] with the [[anatomy]] of the condition. Leriche first published on the subject based on a patient he treated with the condition at the age of 30. Following treatment the 30 year old was able to walk without pain and maintain an erection. | |||
==Symptoms== | ==Symptoms== | ||
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[http://www.radswiki.net Images courtesy of RadsWiki] | [http://www.radswiki.net Images courtesy of RadsWiki] | ||
Image:Leriche's-syndrome-001.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-001.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
Image:Leriche's-syndrome-002.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-002.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
Image:Leriche's-syndrome-003.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-003.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
Image:Leriche's-syndrome-004.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-004.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
Image:Leriche's-syndrome-005.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-005.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
Image:Leriche's-syndrome-006.jpg|thumb|350px|left| | [[Image:Leriche's-syndrome-006.jpg|thumb|350px|left|HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
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* [[aorta|Aorto]][[iliac artery|iliac]] bypass graft | * [[aorta|Aorto]][[iliac artery|iliac]] bypass graft | ||
* [[axillary artery|Axillo]][[femoral artery|femoral]]<ref>{{cite journal |author=Lee BY, Guerra J |title=Axillofemoral bypass graft in a spinal cord injured patient with impending gangrene |journal=The Journal of the American Paraplegia Society |volume=17 |issue=4 |pages=171-6 |year=1994 |pmid=7869060 |doi=}}</ref><ref>{{cite journal |author=McKinsey JF |title=Extra-anatomic reconstruction |journal=Surg. Clin. North Am. |volume=75 |issue=4 |pages=731-40 |year=1995 |pmid=7638717 |doi=}}</ref> and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem") | * [[axillary artery|Axillo]][[femoral artery|femoral]]<ref>{{cite journal |author=Lee BY, Guerra J |title=Axillofemoral bypass graft in a spinal cord injured patient with impending gangrene |journal=The Journal of the American Paraplegia Society |volume=17 |issue=4 |pages=171-6 |year=1994 |pmid=7869060 |doi=}}</ref><ref>{{cite journal |author=McKinsey JF |title=Extra-anatomic reconstruction |journal=Surg. Clin. North Am. |volume=75 |issue=4 |pages=731-40 |year=1995 |pmid=7638717 |doi=}}</ref> and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem") | ||
==References== | ==References== | ||
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*[http://www.learningradiology.com/archives06/COW%20201-Leriche%20Syndrome/lerichecorrect.htm Coronal CT of Leriche' syndrome] - learningradiology.com | *[http://www.learningradiology.com/archives06/COW%20201-Leriche%20Syndrome/lerichecorrect.htm Coronal CT of Leriche' syndrome] - learningradiology.com | ||
[[de:Leriche-Syndrom]] | [[de:Leriche-Syndrom]] | ||
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[[Category: | [[Category:Disease]] | ||
[[Category:Vascular surgery]] | [[Category:Vascular surgery]] | ||
Latest revision as of 22:22, 8 August 2012
| Aortoiliac occlusive disease | |
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| A figure from Gray's Anatomy showing the abdominal aorta and the iliac arteries. | |
| eMedicine | med/2759 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Aortoiliac occlusive disease, also known as Leriche's syndrome or Leriche syndrome, is atherosclerotic occlusive disease involving the abdominal aorta and/or both of the iliac arteries.
Etymology
The condition was first described by Robert Graham in 1814, but the condition with its triad of symptoms was ascribed to René Leriche. Leriche, a French surgeon, linked the pathophysiology with the anatomy of the condition. Leriche first published on the subject based on a patient he treated with the condition at the age of 30. Following treatment the 30 year old was able to walk without pain and maintain an erection.
Symptoms
Classically, it is described as a triad of symptoms consisting of:
- absent or diminished femoral pulses,
- claudication or pain with walking in the buttocks and legs and
- penile impotence.
Diagnostic Findings
Treatment
- Aortoiliac bypass graft
- Axillofemoral[1][2] and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem")
References
See also
External links
- Aortoiliac occlusive disease vascularweb.org
- Leriche's syndrome - whonamedit.com
- Coronal CT of Leriche' syndrome - learningradiology.com