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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Leriche's Syndrome

Introduction

Overview

Overview

Aortoiliac occlusive disease, also known as Leriche’s syndrome or Leriche syndrome, is atherosclerotic occlusive disease involving the abdominal aorta and/or both of the iliac arteries.

Etymology

Etymology

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.

Symptoms

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.
Diagnostic Findings

Diagnostic Findings

Images courtesy of RadsWiki

HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
HIV positive male had a history of bilateral claudication, impotence, and absent femoral pulses (Current status: Post axillofemoral bypass).
Treatment

Treatment

References

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

See also

External links

de:Leriche-Syndrom

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Cafer Zorkun, M.D., Ph.D. [2]