Aortoiliac occlusive disease
| 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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Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
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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.
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
Image:Leriche's-syndrome-001.jpg
Image:Leriche's-syndrome-002.jpg
Image:Leriche's-syndrome-003.jpg
Image:Leriche's-syndrome-004.jpg
Image:Leriche's-syndrome-005.jpg
Image:Leriche's-syndrome-006.jpg
Treatment
- Aortoiliac bypass graft
- Axillofemoral[1][2] and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem")
Discovery
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.
References
See also
External links
- Aortoiliac occlusive disease vascularweb.org
- Leriche's syndrome - whonamedit.com
- Coronal CT of Leriche' syndrome - learningradiology.com