Juxtarenal Leriche Syndrome

Abstract

Leriche Syndrome is an uncommon variant of atherosclerotic occlusive disease, and is characterised by total occlusion in the abdominal aorta and/or both iliac arteries. Chronic abdominal aortic occlusion can extend as far as the renal arteries, causing juxtarenal aortic occlusion, also known as Leriche Syndrome. A 60-year-old female patient was admitted to the emergency department with claudication. On admission, her physical examination was unremarkable except for a decreased femoral artery pulse. Increased cardiothoracic ratio and mild calcification on the wall of the aortic arch and descending aorta were observed in the thoracic computed tomography (CT) angiogram. Calcified plaque was present in the abdominal aorta just below the renal artery, and complete thrombotic occlusion of the abdominal aorta was observed in the abdominal CT angiogram.