Agri. Jan;29(1) doi: /agri [Leriche syndrome]. [ Article in Turkish]. Demirgan S(1), Şitilci AT, Solak S, Sevdi MS, Erkalp K, Köse E . When the clinical triad of impotence, pelvis and thigh claudication, and absence of the femoral pulses are present, it may also be called Leriche syndrome, which . 7 Nov Leriche syndrome refers to the symptoms related to a complete occlusion of the aorta distal to the renal arteries.

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Pregnancy and delivery in a patient with aortic prosthesis for Leriche syndrome. Supplemental Content Full text links. The Journal of the American Paraplegia Society.

Aortoiliac occlusive disease is more common in the elderly with an advanced atherosclerotic disease.

Leriche syndrome

Her previous three pregnancies all prior to the vascular surgery were uneventful, resulting in term vaginal deliveries of healthy infants. The characteristic symptoms include inability to maintain penile erection, fatigue of both lower limbs, intermittent bilateral claudication with ischemic pain, and absent or diminished femoral pulses along with pallor or coldness of both lower extremities.

A ortoiliac occlusive disease refers to complete occlusion of the aorta distal to the renal arteries. Arteriovenous fistula Arteriovenous malformation Telangiectasia Hereditary hemorrhagic telangiectasia. Edit article Share article View revision history.

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. Leriche syndrome Aorto-iliac occlusive disease. Aortic diseases; iliac artery; intermittent claudication; peripheral arterial disease; vascular occlusion; Leriche’s syndrome.


Carotid artery stenosis Renal artery stenosis. Retrieved from ” https: We were concerned that the synthetic material of the prosthesis would be less resistant to external compression than a normal vessel wall, possibly collapsing and shutting off vascular flow during labor and vaginal birth.

Vascular diseases Medical triads Syndromes affecting the aorta. Check for errors and try again. Case 2 Case 2.

Terminology Clinical presentation Pathology Radiographic features Treatment and prognosis History and etymology Differential diagnosis Related articles References Images: Heparin is not routinely recommended after vascular prosthetic surgery at the Instituto Dante Pazzanese, and this patient received the usual therapy, i. The diagnosis is based on progressive vascular insufficiency, and confirmed by angiographic studies.

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Please review our privacy policy. Could the fetal skull mechanically compress the prosthesis during vaginal delivery? Most often the occlusion occurs near the aortic bifurcation.

Pregnancy and delivery in a patient with aortic prosthesis for Leriche syndrome

Because of this anatomical trajectory, the contraction of the round ligaments during labor tends to pull the uterus away from the vertebrae. Int J Emerg Med. Abstract Leriche syndrome is a disease characterized by thrombotic occlusion in the aorta, frequently in the distal renal artery. Aorto-iliac occlusive arterial disease or Leriche’s syndrome.

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This article has been cited by other articles in PMC. Classic symptoms of this syndrome include pain in the lower extremities emerging during activity claudicationimpalpability of femoral pulses, and impotency in male patients. Add to My Bibliography.

[Leriche syndrome].

As can be seen on Figure 2Bthe promontorium, the area of greatest contact with the fetal head during engagement, is located several centimeters below, clearly eliminating the possibility of mechanical compression of the aortic portion of the vascular prosthesis by the fetal skull. Hypertension Hypertensive heart disease Hypertensive emergency Hypertensive nephropathy Essential hypertension Secondary hypertension Renovascular hypertension Benign hypertension Pulmonary hypertension Systolic hypertension White coat hypertension.

The infant’s Apgar scores were 9 and Coronal reconstruction of contrast-enhanced CT scan of the abdomen revealed thrombosis from the distal abdominal aorta to the bilateral common femoral arteries. However, pregnancy elevates the levels of most coagulation factors and predisposes to vascular congestion of the lower limbs, due to the compression of the pelvic veins by lleriche gravid uterus.

Arteritis Aortitis Buerger’s disease.