Aortoiliac occlusive disease

Aortoiliac occlusive disease
Classification and external resources
Plate from Gray's Anatomy showing the abdominal aorta and the iliac arteries.
ICD-9	444.0
DiseasesDB	29335
eMedicine	med/2759
MeSH	D007925

Leriche's syndrome (X-ray)

In medicine, 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 in male patients as a triad of symptoms consisting of:

1. claudication of the buttocks and thighs
2. absent or decreased femoral pulses
3. impotence

This combination is known as Leriche syndrome.[1] However, any number of symptoms may present, depending on the distribution and severity of the disease, such as muscle atrophy and slow wound healing in the legs. Investigations: Angiography (aortography) Doppler

Treatment

• Kissing ballon angioplasty +/- stent
• 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.^[3] Leriche, a French surgeon, linked the pathophysiology with the anatomy of the condition. John Hunter's dissections of atherosclerotic aortic bifurcations from the late 18th century are preserved at the Hunterian Museum, but Leriche was first to publish 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.^{[citation needed]}

See also

• Claudication

References

External links

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

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