Aortoiliac occlusive disease

Aortoiliac occlusive disease
A figure from Gray's Anatomy showing the abdominal aorta and the iliac arteries.
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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:

1. absent or diminished femoral pulses,
2. claudication or pain with walking in the buttocks and legs and
3. penile impotence.

Diagnostic Findings

Images courtesy of RadsWiki

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).

Treatment

• Aortoiliac bypass graft
• Axillofemoral and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem")

See also

• Claudication

External links

• Aortoiliac occlusive disease vascularweb.org
• Leriche's syndrome - whonamedit.com
• Coronal CT of Leriche' syndrome - learningradiology.com