Angiographic documentation of aortoiliac occlusion in Leriche's syndrome

Takigawa, Masateru; Akutsu, Koichi; Kasai, Satoshi; Tamori, Yuiichi; Yoshimuta, Tsuyoshi; Higashi, Masahiro; Takeshita, Satoshi

doi:10.1016/s0828-282x(08)70635-4

Cited by 11 publications

(12 citation statements)

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“…De tal modo que la oclusión infrarrenal de la aorta puede producir debilidad de extremidades inferiores por neuropatía isquémica de la cauda equina 16,17 como ocurrió en este caso. Finalmente y por la rápida evolución del cuadro clínico con ausencia de pulso, piel moteada y fría se planteó el diagnóstico de SL y se solicitó la angiotomografía aórtica siendo este el método diagnóstico más apropiado para confirmar la oclusión trombótica de la arteria aorta infrarrenal 3,10,14,18 .…”

Section: Discussionunclassified

Caso clínico de interés: síndrome de Leriche

Chaves

Pineda²,

Imbachi³

2016

rcslibre

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El síndrome de Leriche es una afección causada por obstrucción de la aorta terminal, las ramas principales de la aorta abdominal, como en la obstrucción aortoilíaca. El síndrome de Leriche suele darse en varones y está caracterizado por impotencia, ausencia de pulso en las arterias femorales, debilidad y entumecimiento en región lumbar, nalgas, caderas y extremidades inferiores. En muchas ocasiones esta entidad es poco conocida en el ámbito de América Latina; algunos casos reportados en países como Bolivia, Brasil, Argentina, Chile, México entre otros, describen características propias de experiencias en casos de pacientes en algunas instituciones de estos países. Se quiere dar a conocer un caso encontrado en el Hospital San José de Popayán en el área de urgencias y generar la importancia de realizar un enfoque terapéutico adecuado ante entidades con compromiso vascular extenso porque producen un pronóstico catastrófico si no se realiza atención oportuna, diagnóstico precoz y tratamiento temprano. Palabras clave: Enfermedad arterial oclusiva, Obstrucción aorta, Obstrucción de aorta abominal,Síndrome de Leriche. AbstractThe Leriche syndrome is a condition caused by occlusion of terminal aorta, the primary branches of the abdominal aorta, as in aortoiliac obstruction. Leriche syndrome usually occurs in males and is characterized by impotence, absence of a pulse in the femoral arteries, weaknesses and numbness in the lower back, buttocks, hips, and lower limbs. Is more situations disease little known in Latin American, some cases is reported in Bolivia, Brazil, Argentina, Chile, Mexican countries and others, so we want to present a case in Hospital San José, Popayán, Colombia in emergency area and show the importance of suitable clinical examination about vascular disease for early diagnosis and appropriate treatment.

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Section: Discussionunclassified

Caso clínico de interés: síndrome de Leriche

Chaves

Pineda²,

Imbachi³

2016

rcslibre

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“…3 Proximal propagation of the occlusion to the visceral arteries can occur, although this is rare. [4][5][6] Aortic occlusions can be caused by other entities, such as an embolus, vasculitis, or trauma, although these are less common than atherosclerosis. 7 Risk factors include smoking, dyslipidemia, hypertension, diabetes mellitus, male gender, advanced age, and a high genetic risk.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Discovery of Leriche Syndrome and the Development of Collaterals

Barry

2014

Journal of Diagnostic Medical Sonography

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Leriche syndrome, also referred to as aortoiliac occlusive disease, is complete occlusion of the infrarenal aorta and bilateral common iliac arteries. The development of collateral pathways allows reconstitution of arterial blood flow to the lower extremities, preventing limb ischemia. Patients typically present with a triad of symptoms, which include intermittent claudication of the buttocks and thighs, decreased or absent femoral pulses, and impotence in men. Sonography may play a significant role in diagnosing Leriche syndrome, particularly in cases with contraindications to other more invasive tests. Knowledge of the presentation of aortoiliac occlusion along with recognition of developing collateral pathways assists with the diagnosis and management of this disease.

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“…This progression is quite variable but may ultimately extend to the level of the renal arteries or result in complete aortic occlusion (4). Proximal propagation of an occlusive distal aortic thrombus to the suprarenal level is rare (9).…”

Section: Discussionmentioning

confidence: 99%

“…The syndrome typically begins at the distal aorta or common iliac artery origins and slowly progresses proximally and distally over time (4), rarely affecting the visceral or renal arteries (5). …”

Section: Introductionmentioning

confidence: 99%