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Cleveland Clinic Journal of Medicine Sep 2021
Topics: Humans; Leriche Syndrome
PubMed: 34470750
DOI: 10.3949/ccjm.88a.20179 -
Ryoikibetsu Shokogun Shirizu 1996
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BMC Cardiovascular Disorders Jan 2020Both acute myocardial infarction and acute pulmonary embolism are distinct medical urgencies while they may conincide. Leriche's syndrome is a relatively rare aortoiliac... (Review)
Review
BACKGROUND
Both acute myocardial infarction and acute pulmonary embolism are distinct medical urgencies while they may conincide. Leriche's syndrome is a relatively rare aortoiliac occlusive disease characterized by claudication, decreased femoral pulses, and impotence. We present the first case of concomitant acute pulmonary embolism, acute myocardial infarction, and Leriche syndrome.
CASE PRESENTATION
A 56-year-old male with a history of intermittent claudication was admitted for evaluating the sudden onset of chest pain. Elevated serum troponin level, sustained high D-dimer level, ST-T wave changes on electrocardiogram, and segmental wall motion abnormality of the left ventricle on transthoracic echocardiography were noted. Pulmonary Computed Tomography Angiogram revealed multiple acute emboli. Aortic Computed Tomography Angiogram spotted complete obstructions of the subrenal aorta and bilateral common iliac arteries with collateral circulation, maintaining the vascularization of internal and external iliac arteries. We stated the diagnosis of acute pulmonary embolism and Leriche syndrome and initiated oral anticoagulation. However, Q waves on electrocardiogram and wall motion abnormality on echocardiography persisted after embolus dissolved successfully. Coronary computed tomography angiogram found coronary arterial plaques while myocardial Positron Emission Tomography detected decreased viable myocardium of the left ventricle. We subsequently ratified the diagnosis of concurrent acute pulmonary embolism, acute myocardial infarction, and Leriche syndrome. The patient was discharged and has been followed up at our center.
CONCLUSION
We described the first concurrence of acute pulmonary embolism, acute myocardial infarction, and Leriche syndrome.
Topics: Administration, Oral; Anticoagulants; Humans; Leriche Syndrome; Male; Middle Aged; Myocardial Infarction; Pulmonary Embolism; Treatment Outcome
PubMed: 31952498
DOI: 10.1186/s12872-019-01288-0 -
Journal of General Internal Medicine Oct 2010
Topics: Erectile Dysfunction; Humans; Leriche Syndrome; Male; Middle Aged; Radiography
PubMed: 20568019
DOI: 10.1007/s11606-010-1412-z -
Agri : Agri (Algoloji) Dernegi'nin... Jan 2017Leriche syndrome is a disease characterized by thrombotic occlusion in the aorta, frequently in the distal renal artery. Classic symptoms of this syndrome include pain...
Leriche syndrome is a disease characterized by thrombotic occlusion in the aorta, frequently in the distal renal artery. Classic symptoms of this syndrome include pain in the lower extremities emerging during activity (claudication), impalpability of femoral pulses, and impotency in male patients. Definitive diagnosis of claudication due to insufficient circulation as well as claudication that is neurogenic in origin, is difficult. Medical history, physical examination, and monitoring methods are important for definitive diagnosis. Impalpability of bilateral femoral pulses in physical examination may be sign of Leriche syndrome. Color Doppler ultrasonography can be used to demonstrate that there is no circulation in the iliac arteries in cases of Leriche syndrome. In these patients, thrombotic occlusion of the aorta is confirmed by computed tomography angiography. Presently described is a case of Leriche syndrome in which the patient presented at hospital with complaint of claudication and was diagnosed with lumbar disc herniation. Since vascular pathologies were not considered in differential diagnosis, treatment was delayed and it resulted in mortality; for this reason it is important. When patients come to hospital with complaints of leg pain, clinicians should consider vascular pathologies before reaching definitive diagnosis, using detailed patient history and comprehensive physical examination.
Topics: Diagnosis, Differential; Humans; Intermittent Claudication; Leriche Syndrome; Male; Middle Aged; Pain Measurement; Tomography, X-Ray Computed
PubMed: 28467568
DOI: 10.5505/agri.2015.65983 -
The Journal of Cardiovascular Surgery Jun 2012The chronic obstruction of the aortic bifurcation and iliac axis was definide by the French surgeon Rene Leriche, whose name it bears today. The advancing age of the... (Review)
Review
The chronic obstruction of the aortic bifurcation and iliac axis was definide by the French surgeon Rene Leriche, whose name it bears today. The advancing age of the population move the definition from a syndrome, as reported from Leriche, to complex aortoiliac vascular lesions current multidisciplinary guidelines recommend to treat extensive aortoiliac occlusive disease by surgical revascularization. Surgery provides good long-term patency, but at the cost of substantial perioperative morbidity. Development of new technologies and techniques has led to increased use of endovascular therapy for extensive aortoiliac disease. This review article summarized current multidisciplinary guidelines indication in endovascular treatment of extensive aorto-iliac disease and the various worldwide single centre experience published on endovascular treatment of Leriche Syndrome.
Topics: Anastomosis, Surgical; Aorta, Abdominal; Blood Vessel Prosthesis; Endovascular Procedures; Humans; Iliac Artery; Leriche Syndrome
PubMed: 22695262
DOI: No ID Found -
Journal of the American College of... Nov 2009
Topics: Humans; Impotence, Vasculogenic; Intermittent Claudication; Leriche Syndrome; Male; Middle Aged; Tomography, X-Ray Computed; Ultrasonography, Doppler
PubMed: 19874987
DOI: 10.1016/j.jacc.2009.06.037 -
Deutsches Arzteblatt International Feb 2022
Topics: Humans; Leriche Syndrome; Arteries
PubMed: 36876412
DOI: 10.3238/arztebl.m2022.0175 -
International Surgery Mar 1967
Topics: Aorta, Abdominal; Blood Vessels; Collateral Circulation; Humans; Iliac Artery; Leriche Syndrome; Replantation
PubMed: 6034457
DOI: No ID Found -
Journal of the American Podiatric... Apr 1992Leriche's syndrome will be seen by the podiatric physician, and it can be misinterpreted as pain secondary to mechanical etiology. Often, symptoms of buttock or thigh...
Leriche's syndrome will be seen by the podiatric physician, and it can be misinterpreted as pain secondary to mechanical etiology. Often, symptoms of buttock or thigh pain occurring during walking resemble those seen with symptomatic pronation, so this disease entity must be ruled out.
Topics: Aged; Female; Humans; Iliac Artery; Leriche Syndrome; Male; Middle Aged; Pain; Radiography; Walking
PubMed: 1597828
DOI: 10.7547/87507315-82-4-196