Aortoiliac occlusive disease

  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.

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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.
4. atrophy of the femoral muscles

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.^{[citation needed]} 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.^{[citation needed]}

References

1. ^ Lee BY, Guerra J (1994). "Axillofemoral bypass graft in a spinal cord injured patient with impending gangrene". The Journal of the American Paraplegia Society 17 (4): 171-6. PMID 7869060.
2. ^ McKinsey JF (1995). "Extra-anatomic reconstruction". Surg. Clin. North Am. 75 (4): 731-40. PMID 7638717.

See also

• Claudication