Abdominal aortic occlusion of young adults

Aortoiliac occlusive disease (AOD) is a rare presentation of thrombosis of the abdominal aorta. Also known as Leriche syndrome, its classic description entails claudication of the buttocks, thighs, and calves, absent femoral pulses, and impotence. AOD risk factors include smoking, hypertension, hyperlipidemia, diabetes, chronic renal insufficiency, and hypercoagulopathy. Ischemic complications of gastrointestinal malperfusion, renal infarction, and paralysis secondary to spinal cord ischemia are also noted. This case describes AOD complicated by a Stanford Type B aortic dissection leading to multi-system organ failure. A brief review of the literature further elucidates the key risk factors in identifying and treating Leriche syndrome.

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“…In these younger patients, there is a higher incidence of hypercoagulopathy such as in antiphospholipid syndrome (APS). 2 – 4 …”

Section: Discussionmentioning

confidence: 99%

Dead Legs: A Case of Bilateral Leg Paralysis

Quenzer

Stillings

2017

CPC-EM

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“…4) Most patients with SAS have one or more risk factors for atherosclerosis, such as smoking, hypertension, and hypercholesterolemia. 4,15) In this case, the patient had two risk factors: smoking and LDL-hypercholesterolemia. As SAS generally presents in the fourth or fi fth decade of life, whether its pathogenesis is congenital or acquired remains controversial.…”

Section: Disclosure Statementmentioning

confidence: 91%

Intermittent Claudication Caused by Small Aorta Syndrome: A Case Report and Review of Literature

Urabe

Nakazawa

Kanazawa

et al. 2014

Annals of Vascular Diseases

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Aortoiliac arterial steno-occlusions in young or middle-aged patients are relatively rare and have been reported in the literature as small aorta syndrome (SAS) or hypoplastic aortoiliac syndrome. We report the case of a 48-year-old Japanese woman with intermittent claudication caused by SAS. We performed left iliofemoral bypass grafting with a Dacron graft via a retroperitoneal approach. Bypass grafts, endarterectomy, and sympathectomy have been used for surgical management. Given that post-procedural event rates are higher for SAS than for other common atherosclerotic diseases, patients with SAS should be closely followed up after surgery.

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“…The infrarenal aorta and iliac arteries are unusually small in diameter; therefore, they are prone to significant narrowing even in modest disease states (Reddy and Shepard, 2006). This is seen in Bucci et al's (2012) description of a 35-year-old-female smoker who presented with abdominal pain, urinary incontinence, and bilateral claudication. Ultrasound and CT revealed complete occlusion of the infrarenal aorta extending distally through the common iliac arteries.…”

Section: Exceptions To the General Classificationmentioning

confidence: 99%

Anatomical significance in aortoiliac occlusive disease

et al. 2014

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Aortoiliac occlusive disease is a subset of peripheral arterial disease involving an atheromatous occlusion of the infrarenal aorta, common iliac arteries, or both. The disease, as it is known today, was described by the French surgeon René Leriche as a thrombotic occlusion of the end of the aorta. Leriche successfully linked the anatomic location of the occlusion with a unique triad of symptoms, including claudication, impotence, and decreased peripheral pulses. The anatomical location of the atheromatous lesions also has a direct influence on classification of the disease, as well as choice of treatment modality. Considering its impact on diagnosis and treatment, we aimed to provide a detailed understanding of the anatomical structures involved in aortoiliac occlusive disease. Familiarity with these structures will aid the physician in interpretation of radiologic images and surgical planning.

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Abdominal aortic occlusion of young adults

Cited by 5 publications

References 8 publications

Dead Legs: A Case of Bilateral Leg Paralysis

Dead Legs: A Case of Bilateral Leg Paralysis

Intermittent Claudication Caused by Small Aorta Syndrome: A Case Report and Review of Literature

Anatomical significance in aortoiliac occlusive disease

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