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Related Subjects: Ankle-Brachial pressure Index (ABPI) and Peripheral Vascular Disease Peripheral Arterial Disease (PAD) Abdominal Aortic Aneurysm (AAA) Carotid Endarterectomy Buerger's disease (Thromboangiitis obliterans ) Leriche syndrome (aortoiliac occlusive disease)
π¨ A 58-year-old man, heavy smoker, presents with progressive thigh claudication πΆββοΈ, buttock pain π, and erectile dysfunction π. Exam: Absent femoral pulses β, but distal pulses weakly palpable. CTA shows aortoiliac occlusion just above bifurcation. β Diagnosis: Leriche syndrome. π οΈ Management: Start aspirin + statin, smoking cessation; referred for vascular surgery β aortobifemoral bypass considered.
Leriche syndrome is a severe form of aortoiliac occlusive disease. The hallmark triad = πΆββοΈ bilateral claudication, π erectile dysfunction, and β absent femoral pulses. Management ranges from risk-factor optimisation π to endovascular therapy π©» or definitive surgery πͺ, tailored to disease extent and patient comorbidity.