Aortoiliac occlusive disease

Infobox_Disease
Name = Aortoiliac occlusive disease

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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.

ymptoms

Classically, it is described in male patients as a triad of symptoms consisting of:
#absent or diminished femoral pulses,
#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

* Aortoiliac bypass graft
* Axillofemoral [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=] [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=] 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. [WhoNamedIt|synd|2747] 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.Fact|date=February 2007

References

ee 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