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Abdominal Aortic Occlusion
Suvranu Ganguli, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Aortic occlusion, aortoiliac occlusive disease, acute aortic occlusion, chronic aortic occlusion, Leriche syndrome
          • Definitions

            • Acute or chronic total occlusion of abdominal aorta
            • Leriche syndrome: Abdominal aortic or iliac artery occlusive disease causing absent femoral pulses, bilateral claudication, and impotence

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Echocardiographic Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. AndrĂ¡si TB et al: A minimally invasive approach for aortobifemoral bypass procedure. J Vasc Surg. 53(3):870-5, 2011
                                          2. Roxas R et al: Rapid detection of aortic occlusion with emergency ultrasonography. Ann Emerg Med. 58(1):21-3, 2011
                                          3. Yamamoto H et al: Acute occlusion of the abdominal aorta with concomitant internal iliac artery occlusion. Ann Thorac Cardiovasc Surg. 17(4):422-7, 2011
                                          4. Chiesa R et al: Aortobifemoral bypass grafting using expanded polytetrafluoroethylene stretch grafts in patients with occlusive atherosclerotic disease. Ann Vasc Surg. 23(6):764-9, 2009
                                          5. Salerno M et al: Images in vascular medicine. Collateral pathways perfusing Leriche's syndrome evaluated by multislice spiral computed tomography. Vasc Med. 9(3):229-30, 2004
                                          6. Ruehm SG et al: Contrast-enhanced MR angiography in patients with aortic occlusion (Leriche syndrome). J Magn Reson Imaging. 11(4):401-10, 2000
                                          7. Ligush J Jr et al: Management and outcome of chronic atherosclerotic infrarenal aortic occlusion. J Vasc Surg. 24(3):394-404; discussion 404-5, 1996
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Aortic occlusion, aortoiliac occlusive disease, acute aortic occlusion, chronic aortic occlusion, Leriche syndrome
                                                  • Definitions

                                                    • Acute or chronic total occlusion of abdominal aorta
                                                    • Leriche syndrome: Abdominal aortic or iliac artery occlusive disease causing absent femoral pulses, bilateral claudication, and impotence

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Echocardiographic Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. AndrĂ¡si TB et al: A minimally invasive approach for aortobifemoral bypass procedure. J Vasc Surg. 53(3):870-5, 2011
                                                                                  2. Roxas R et al: Rapid detection of aortic occlusion with emergency ultrasonography. Ann Emerg Med. 58(1):21-3, 2011
                                                                                  3. Yamamoto H et al: Acute occlusion of the abdominal aorta with concomitant internal iliac artery occlusion. Ann Thorac Cardiovasc Surg. 17(4):422-7, 2011
                                                                                  4. Chiesa R et al: Aortobifemoral bypass grafting using expanded polytetrafluoroethylene stretch grafts in patients with occlusive atherosclerotic disease. Ann Vasc Surg. 23(6):764-9, 2009
                                                                                  5. Salerno M et al: Images in vascular medicine. Collateral pathways perfusing Leriche's syndrome evaluated by multislice spiral computed tomography. Vasc Med. 9(3):229-30, 2004
                                                                                  6. Ruehm SG et al: Contrast-enhanced MR angiography in patients with aortic occlusion (Leriche syndrome). J Magn Reson Imaging. 11(4):401-10, 2000
                                                                                  7. Ligush J Jr et al: Management and outcome of chronic atherosclerotic infrarenal aortic occlusion. J Vasc Surg. 24(3):394-404; discussion 404-5, 1996