Aortoiliac occlusive disease 1212595 220994562 2008-06-22T15:49:38Z DOI bot 6652755 Citation maintenance. Initiated by [[User:Fconaway|Fconaway]]. You can [[WP:DOI|use this bot]] yourself! Please [[User:DOI_bot/bugs|report any bugs]]. {{Infobox_Disease | Name = Aortoiliac occlusive disease | Image = Gray531.png | Caption = Plate from [[Gray's Anatomy]] showing the abdominal aorta and the iliac arteries. | DiseasesDB = 29335 | ICD10 = | ICD9 = {{ICD9|444.0}} | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = med | eMedicineTopic = 2759 | MeshID = D007925 | }} 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 [[symptom]]s consisting of: #absent or diminished [[femoral artery|femoral]] [[pulse]]s, #[[intermittent claudication]] ([[pain]] with walking) and #penile [[impotence]]. This combination is known as [[Leriche syndrome]].[http://onlinesurgicaldictionary.com/arteries/obliterative-atheromatous-disease/aortoiliac-disease] However, any number of symptoms may present, depending on the distribution and severity of the disease. Variable, chronic ischemia involving the lower limbs is a common presentation.[http://www.jvascbr.com.br/02-01-01/02-01-01-47/02-01-01-47.htm] ==Treatment== * [[aorta|Aorto]][[iliac artery|iliac]] bypass graft * [[axillary artery|Axillo]][[femoral artery|femoral]]<ref>{{cite journal |author=Lee BY, Guerra J |title=Axillofemoral bypass graft in a spinal cord injured patient with impending gangrene |journal=The Journal of the American Paraplegia Society |volume=17 |issue=4 |pages=171–6 |year=1994 |pmid=7869060 |doi=}}</ref><ref>{{cite journal |author=McKinsey JF |title=Extra-anatomic reconstruction |journal=Surg. Clin. North Am. |volume=75 |issue=4 |pages=731–40 |year=1995 |pmid=7638717 |doi=}}</ref> 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]].<ref>{{WhoNamedIt|synd|2747}}</ref> Leriche, a [[French people|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<!--without pain??? --> and maintain an erection.{{Fact|date=February 2007}} ==References== {{reflist}} ==See also== *[[Claudication]] ==External links== *[http://www.vascularweb.org/_CONTRIBUTION_PAGES/Patient_Information/NorthPoint/Aortoiliac_Occlusive_Disease.html Aortoiliac occlusive disease] vascularweb.org *[http://www.whonamedit.com/synd.cfm/2747.html Leriche's syndrome] - whonamedit.com *[http://www.learningradiology.com/archives06/COW%20201-Leriche%20Syndrome/lerichecorrect.htm Coronal CT of Leriche' syndrome] - learningradiology.com [[Category:Diseases]] [[Category:Vascular surgery]] {{disease-stub}} {{Circulatory system pathology}} [[de:Leriche-Syndrom]]