Therapeutic aspects of Leriche syndrome important in the activity of primary care practitioner: own clinical observations

Abstract

Leriche syndrome or aorto-iliac occlusive disease is caused by chronic obstruction of aortic bifurcation. Process is spreaded on infrarenal aorta, as well on common iliac arteries, and classically is connected to the triad of symptoms, which are intermittent claudication, absence or reduction of peripheral pulse and erectile dysfunction in men. Disease most often occurs in men. Risk-factors include hypertension, diabetes, hyperlipidaemia and smoking. Most often it is observed in men in the age from thirty to sixty. In 1923 René Leriche described obliteration of terminal aorta as a cause of circulatory insufficiency of the legs, and in 1948 Leriche and Morel submitted thorough description of the syndrome. Upon symptoms appearance patients often look for the help not of the surgens, but of the therapists. Article contains authors’ observations of the clinical case of Leriche syndrome, which is observed for a long time by primary care practitioners, has wide manifestations, and which we use for the education of students and interns in national and English language