Aortoiliac occlusive disease: Difference between revisions
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'''Aortoiliac occlusive disease''', also known as '''Leriche's syndrome''' and '''Leriche syndrome''', is [[atherosclerotic]] occlusive disease involving the [[abdominal aorta]] and/or both of the [[iliac arteries]]. | '''Aortoiliac occlusive disease''', also known as '''Leriche's syndrome''' and '''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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* [[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== | ||
Revision as of 03:59, 7 March 2009
| Aortoiliac occlusive disease | |
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| A figure from Gray's Anatomy showing the abdominal aorta and the iliac arteries. | |
| eMedicine | med/2759 |
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Overview
Aortoiliac occlusive disease, also known as Leriche's syndrome and 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