Aortoiliac occlusive disease
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| Aortoiliac occlusive disease Classification and external resources | |
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| A figure from Gray's Anatomy showing the abdominal aorta and the iliac arteries. | |
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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.
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.
Treatment
- Aortoiliac bypass graft
- Axillofemoral[1][1] 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
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
