Aortoiliac occlusive disease
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220994562
2008-06-22T15:49:38Z
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{{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]]