Abstract

ROZO-ORTIZ, Edwar Jassir; VARGAS-RODRIGUEZ, Ledmar Jovanny  and  AGUDELO-SANABRIA, Milena Brigitte. Leriche’s syndrome. Med. interna Méx. [online]. 2019, vol.35, n.4, pp.627-631.  Epub Mar 26, 2021. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i4.2476.

Leriche’s syndrome is an occlusive vasculopathy that progressively affects the abdominal aorta and the common iliacs. This paper reports the case of a female patient with various vascular risk factors, which presented a clinical picture compatible with vascular occlusion (claudication). The characteristics of a Leriche’s syndrome were confirmed by imaging. The patient finally died. Incidence and prevalence of Leriche’s syndrome are unknown, cases in the female gender are the main ones in autoimmune diseases. For the diagnosis, an adequate clinical history is required and confirmed by imaging studies. The treatment is aimed at preventing the progress of the disease. Within the pharmacological management are some vasodilators, antiplatelet agents and statins. Surgical management can be an open or endovascular surgery, the first one offers the greatest benefit, despite the risks involved.

Keywords : Leriche’s syndrome; peripheral arterial disease; Aortic diseases; intermittent claudication; vascular occlusion.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )