During the years 1942-1945, LERICHE described the clinical, arteriographic, and operative findings in two patients with extraordinary elongation and dilatation of the pelvic and common femoral arteries which before operation were mistaken for aneurysms. In one patient, the accompanying veins were similarly involved. LERICHE termed this disease arteria (vena) magna et do1icho and did not suggest that arteriosclerosis was the cause of the condition. These vessels were however not microscopically examined. ACKERMAN & BUT-CHER (1964), in their text on surgical pathology, mentioned this condition, but there has been no further reference to it in the English literature. In order to determine whether these abnormalities represent a specific type of vascular disease, the femoral or aorto-i1io-femora1 arteriograms of 670 patients were reviewed (FRIEDENBERG & CARLSSON 1965). The present communication is a report on the clinical, roentgenographic, and pathologic findings in 9 patients in whom the arteries in the pelvis and/or lower extremities were similar to those described by LERIC,HE.
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